Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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The Laparoscopic Repair of a Morgagni Hernia in a Child

  • Ra, Yong-Joon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital) ;
  • Huh, Up (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital) ;
  • Lee, Sang-Gwon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital) ;
  • Je, Hyung-Gon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital)
  • Received : 2010.07.09
  • Accepted : 2011.01.12
  • Published : 2011.02.05
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Abstract

A 12-year-old female presented with the abnormal findings on the chest PA. The chest CT revealed a retrosternal defect of the diaphragm and a fatty opacity in the pleural cavity, resulting in a diagnosis of Morgagni hernia. It was decided to undergo a laparoscopic surgery. The retrosternal defect of the diaphragm measuring 3.5 cm in diameter was found, through which a portion of the greater omentum and the fatty tissue connected with the falciform ligament were herniated into the pleural cavity. The greater omentum was pushed back into the peritoneal cavity and the fatty tissue connected with falciform ligament was excised. The mediastinal pleura was plicated and the defect of the diaphragm was repaired primarily. Immediately after the operation, the patient developed a right pneumothorax for which a chest tube was inserted. She was discharged at the post-operative third day without any further complications.

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References

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