• Hernia · Aug 2015

    Case Reports

    Right-sided diaphragmatic rupture after repair of a large Morgagni hernia.

    • T S Schiergens, J G Koch, P N Khalil, A Graser, N P Zügel, K-W Jauch, and A Kleespies.
    • Hernia. 2015 Aug 1; 19 (4): 671-5.

    AbstractWe present a case of a combination of primary and secondary diaphragmatic hernia in a 63-year male patient. For progressive dyspnea and palpitations caused by a large and symptomatic Morgagni hernia resulting in a right-sided enterothorax, an open tension-free mesh repair was performed. The postoperative course was complicated by a secondary hepatothorax through a spontaneous rupture of the right diaphragm. Primary mesh repair of the Morgagni hernia, however, proved to be sufficient. This recurrent herniation might be a consequence of (1) preexisting atrophy of the right diaphragm caused by disposition and/or long-term diaphragmatic dysfunction due to the large hernia, combined with (2) further thinning out of the diaphragm by intraoperative hernia sac resection, and (3) postoperative increase of intra-abdominal pressure.

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