Laparoscopic diagnosis and treatment of diaphragmatic Morgagni hernia. Case report and review of the literature.
BACKGROUND
Morgagni's hernia is a rare and congenital type of diaphragmatic hernia. The majority of these are asymptomatic and diagnosed incidentally during evaluation or treatment for other conditions. When diagnosis is made surgery is mandatory. The Authors report the laparoscopic repair of small Morgagni hernia, followed by review of the literature.


METHODS
A case of 55-year-old woman complaining a sensation of tightness in her chest, but especially an oppressive epigastric pain with episodes of fainting fit and breathless is described. The definitive diagnosis was confirmed by laparoscopy. The hernia was repaired laparoscopically using a mesh fixed by hernia stapler after excision of the sac.


RESULTS
In the postoperative patients has presented an episode of heart condition due to pericarditis treated pharmacologically. The patient was discharged on the seventh postoperative day symptom-free.


CONCLUSIONS
Laparoscopic technique must be considered as a first line approach for the treatment of Morgagni hernia, easy and safe by carry out. We recommend do not excise hernia sac, even if small, and particular cure in the use of the mesh fixed by metal staples.
Department of Surgical Sciences, University "La Sapienza" of Rome, Italy. danieleprismi@virgilio.it
Daniele
D
Pironi
Giorgio
G
Palazzini
Stefano
S
Arcieri
Salvatore
S
Candioli
Annarita
A
Manigrasso
Alessandra
A
Panarese
Angelo
A
Filippini
D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged