Gut Liver.  2009 Dec;3(4):318-320.

Elective Laparoscopic Repair after Colonoscopic Decompression for Incarcerated Morgagni Hernia

Affiliations
  • 1Department of General Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
  • 2Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. gidoc4u@gmail.com

Abstract

Plain radiographs of an 88-year-old woman who had experienced vomiting and abdominal distention for 3 days revealed a severely obstructed ileus, and abdominopelvic computed tomography revealed an incarcerated Morgagni hernia. The endoscope was passed through the constrictions from the diaphragmatic indentations and a thin catheter was placed for decompression. The obstructive ileus regressed markedly after the procedure; the patient underwent elective laparoscopic repair of the hernia 1 week later. This is believed to be the first case of endoscopic preoperative decompression for an incarcerated Morgagni hernia.

Keyword

Hernia, Diaphragmatic; Decompression; Colonoscopy

MeSH Terms

Aged, 80 and over
Catheters
Colonoscopy
Constriction
Decompression
Endoscopes
Female
Hernia
Hernia, Diaphragmatic
Humans
Ileus
Vomiting
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