Elective Laparoscopic Repair after Colonoscopic Decompression for Incarcerated Morgagni Hernia.
- Author:
Hyoung Ran KIM
1
;
Tae Ho HONG
;
Yun Seok LEE
;
Jin Jo KIM
;
Bo In LEE
;
Keun Ho LEE
;
Se Jeong OH
;
Seung Man PARK
;
Young Ha KIM
Author Information
1. Department of General Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Hernia, Diaphragmatic;
Decompression;
Colonoscopy
- MeSH:
Aged, 80 and over;
Catheters;
Colonoscopy;
Constriction;
Decompression;
Endoscopes;
Female;
Hernia;
Hernia, Diaphragmatic;
Humans;
Ileus;
Vomiting
- From:Gut and Liver
2009;3(4):318-320
- CountryRepublic of Korea
- Language:English
-
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.