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Incarcerated Larrey hernia with small bowel obstruction: A case report
Noriyuki Sasaki1, Shingo Mitomo1, Yusuke Matsui1
1Department of Surgery, Iwate Prefectural Ninohe Hospital, 38-2 Okawarage, Horino, Ninohe, Iwate 028-6193, Japan.
International Journal of Surgery Case Reports
|March 10, 2023
Summary
Morgagni-Larrey hernias (MLHs) are rare diaphragmatic defects. This case demonstrates successful emergent laparoscopic repair of an incarcerated MLH causing small bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Hernia Repair
Background:
- Morgagni-Larrey hernias (MLHs) are uncommon congenital diaphragmatic defects.
- MLHs can lead to serious complications like incarceration and bowel obstruction.
Observation:
- An 87-year-old woman presented with symptoms of small bowel obstruction.
- CT imaging confirmed an incarcerated Morgagni-Larrey hernia.
- The patient underwent emergent laparoscopic surgery for the condition.
Findings:
- Laparoscopic reduction of incarcerated small bowel was successful.
- No signs of intestinal ischemia or perforation were observed.
- The hernia defect was repaired with sutures, and the patient recovered without complications.
Implications:
- Laparoscopic surgery is a feasible option for treating incarcerated MLHs.
- This approach may offer benefits for patients with rare diaphragmatic hernias.
- Case-by-case selection of surgical techniques is crucial for MLH management.
