Perforated Appendicitis Within a Morgagni Hernia: A Laparoscopic Repair

Abstract

Laparoscopic repair of a Morgagni hernia is a well-described technique in children or adults who present well beyond the neonatal period. However, it is still most often being repaired by an open approach. This repair can be more challenging when a concomitant infectious process is present, which in this case was a perforated appendicitis. A 22-year-old man presented with typical appendicitis but was found to have a perforated appendicitis contained within a congenital diaphragmatic hernia. We demonstrate the safety and efficacy of using laparoscopy to repair a Morgagni hernia, in the setting of a contaminated field, with primary suture repair. Our patient was able to have both his appendectomy and his Morgagni hernia repair with a single operation, and there was no recurrence of the diaphragmatic defect.

Perforated Appendicitis and Bowel Incarceration within Morgagni Hernia: A Case Report

“…Very rarely, MH may show symptoms that require urgent surgical care, and if so, it is most often related to intestinal obstruction [7]. There are several case reports in the previous literature describing acute appendicitis inside the Morgagni hernia [8][9][10]. To our knowledge, this is the first case report describing both obstruction and perforated appendicitis related to a Morgagni hernia.…”