Incidental Morgagni hernia found during laparoscopic repair of hiatal hernia: Case report & review of literature
Morgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5% of all hiatal hernia. The co-existing of these two hernias is extremely rare with only 10 cases reported in the literature. We present a cas...
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| Published in: | International journal of surgery case reports Vol. 57; pp. 97 - 101 |
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| Format: | Journal Article |
| Language: | English |
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| Abstract | Morgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5% of all hiatal hernia. The co-existing of these two hernias is extremely rare with only 10 cases reported in the literature.
We present a case of 53-year-old female patient with 6-year history of reflux disease. Her symptoms were poorly controlled by medications and she was seeking a surgical treatment. Preoperative assessment revealed a giant paraesophageal hernia for which a laparoscopic repair was planned. During the surgery, left-sided Morgagni hernia was discovered and both hernias were repaired at the same time. The patient tolerated the procedure well without complications.
The co-existence of Morgagni and Hiatal hernia is rare and the simultaneously laparoscopic repair of both hernias is safe and feasible. |
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| AbstractList | INTRODUCTIONMorgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5% of all hiatal hernia. The co-existing of these two hernias is extremely rare with only 10 cases reported in the literature. PRESENTATION OF CASEWe present a case of 53-year-old female patient with 6-year history of reflux disease. Her symptoms were poorly controlled by medications and she was seeking a surgical treatment. Preoperative assessment revealed a giant paraesophageal hernia for which a laparoscopic repair was planned. During the surgery, left-sided Morgagni hernia was discovered and both hernias were repaired at the same time. The patient tolerated the procedure well without complications. CONCLUSIONThe co-existence of Morgagni and Hiatal hernia is rare and the simultaneously laparoscopic repair of both hernias is safe and feasible. Morgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5% of all hiatal hernia. The co-existing of these two hernias is extremely rare with only 10 cases reported in the literature. We present a case of 53-year-old female patient with 6-year history of reflux disease. Her symptoms were poorly controlled by medications and she was seeking a surgical treatment. Preoperative assessment revealed a giant paraesophageal hernia for which a laparoscopic repair was planned. During the surgery, left-sided Morgagni hernia was discovered and both hernias were repaired at the same time. The patient tolerated the procedure well without complications. The co-existence of Morgagni and Hiatal hernia is rare and the simultaneously laparoscopic repair of both hernias is safe and feasible. |
| Author | Alealiwi, Mohammad Danan, Omran Al Hassan, Ali Alshomimi, Saeed Alabdrabalmeer, Marwah |
| AuthorAffiliation | b Department of Radiology, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia a Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia |
| AuthorAffiliation_xml | – name: b Department of Radiology, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia – name: a Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia |
| Author_xml | – sequence: 1 givenname: Ali surname: Hassan fullname: Hassan, Ali organization: Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia – sequence: 2 givenname: Marwah surname: Alabdrabalmeer fullname: Alabdrabalmeer, Marwah organization: Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia – sequence: 3 givenname: Mohammad surname: Alealiwi fullname: Alealiwi, Mohammad organization: Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia – sequence: 4 givenname: Omran Al surname: Danan fullname: Danan, Omran Al organization: Department of Radiology, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia – sequence: 5 givenname: Saeed orcidid: 0000-0002-9080-3952 surname: Alshomimi fullname: Alshomimi, Saeed email: Sshomimi@iau.edu.sa organization: Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30933900$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.ijsu.2018.10.028 10.1148/70.4.561 10.1007/s11605-014-2552-y 10.1016/j.thorsurg.2009.08.010 10.1186/1471-2482-15-15 10.1007/s00464-008-9754-x 10.1016/j.athoracsur.2003.12.028 10.1089/lap.2006.16.626 |
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| Keywords | Hiatal hernia Laparoscopic Morgagni hernia Incidental |
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| References | Szentkereszty, Csaky, Boland, Weisz, Sasi-Szabo, Gamal (bib0045) 2006; 16 Park, Doyle (bib0010) 2014; 18 Horton, Hofmann, Hetz (bib0020) 2008; 22 Nasr, Fecteau (bib0025) 2009; 19 Lund, Crisler, Sammons, Gartenlaub (bib0030) 1958; 70 Agha, Borrelli, Farwana, Koshy, Fowler, Orgill, For the SCARE Group (bib0015) 2018 Minneci, Deans, Kim, Mathisen (bib0005) 2004; 77 Godazandeh, Mokhtari-esbuie (bib0040) 2016 Bettini, Ulloa, Harris (bib0035) 2015; 15 Nasr (10.1016/j.ijscr.2019.03.012_bib0025) 2009; 19 Bettini (10.1016/j.ijscr.2019.03.012_bib0035) 2015; 15 Lund (10.1016/j.ijscr.2019.03.012_bib0030) 1958; 70 Horton (10.1016/j.ijscr.2019.03.012_bib0020) 2008; 22 Szentkereszty (10.1016/j.ijscr.2019.03.012_bib0045) 2006; 16 Park (10.1016/j.ijscr.2019.03.012_bib0010) 2014; 18 Agha (10.1016/j.ijscr.2019.03.012_bib0015) 2018 Minneci (10.1016/j.ijscr.2019.03.012_bib0005) 2004; 77 Godazandeh (10.1016/j.ijscr.2019.03.012_bib0040) 2016 |
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| Snippet | Morgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5%... INTRODUCTIONMorgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia... |
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| SubjectTerms | Hiatal hernia Incidental Laparoscopic Morgagni hernia |
| Title | Incidental Morgagni hernia found during laparoscopic repair of hiatal hernia: Case report & review of literature |
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