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J Surg Case Rep. 2019 Aug 5;2019(8):rjz225. doi: 10.1093/jscr/rjz225. eCollection 2019 Aug.

The waiting game: laparoscopic repair of dual Morgagni and paraesophageal hernias in an elderly, infirm patient.

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Department of Internal Medicine, Advocate Lutheran General Hospital, Park Ridge, IL 60068, USA.
Division of Gastroenterology, Advocate Lutheran General Hospital, Park Ridge, IL 60068, USA.


Morgagni hernias are congenital diaphragmatic disruptions that occur when intra-abdominal organs herniate posterior to the sternum. It is very rare to concomitantly diagnose a paraesophageal hernia (PEH) in a patient with a Morgagni hernia. Here, we describe an elderly female patient presenting with severe chest pain subsequently diagnosed with a non-strangulated Morgagni hernia as well as PEH. She underwent successful robotic laparoscopic surgical repair of the hernias with resolution of her symptoms. This case demonstrates the need for early surgical intervention of Morgagni hernias to prevent sequelae, such as strangulation, and the rising benefits of laparoscopic repairs in adult patients.

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