Laparoscopic composite-mesh repair of an adult Morgagni hernia

Congenital Morgagni hernia is a rare clinical condition. We present a 72-year-old man with epigastric discomfort and hematemesis who was diagnosed with hernia of Morgagni with an incarceration of the stomach and colon. The patient was treated electively by laparoscopic composite-mesh repair without excising the hernial sac or approximating the edges of the defect, which was 10 x 6 cm in diameter. He was discharged on the seventh postoperative day without any complications. At a 1-year follow-up examination he had no recurrence nor clinical symptoms, although the large hernial sac contained fluid. Laparoscopic composite-mesh repair is a less-invasive and tension-free method for Morgagni hernia that results in an excellent clinical outcome.