
ResumenAntecedentesLa hernia de Morgagni (HM) es una anomalía rara que constituye el 2-5% de las todas las hernias diafragmáticas, siendo rara su evolución hasta la edad adulta.Caso clínicoPaciente masculino de 34 años que padece durante 3 años cuadros de mareos, diaforesis y disnea de leve a intermitente. En examen físico se ausculta hemitórax derecho hipoventilado. Se le realiza telerradiografía de tórax y tomografía axial computada (TAC), realizando diagnóstico de HM. Se repara quirúrgicamente mediante abordaje laparoscópico exitoso.DiscusiónLa HM corresponde a un defecto congénito de la cara anteromedial del diafragma, cuya presentación es infrecuente en el adulto. Comprende menos del 5% de las hernias diafragmáticas congénitas.ConclusiónEste reporte de caso confirma el concepto de la literatura sobre las ventajas conocidas del tratamiento laparoscópico de esta rara patología.AbstractBackgroundMorgagni hernia (MH) is a rare anomaly that constitutes 2-5% of all diaphragmatic hernias, the evolution until adult life is rare.Clinical case34 year old patient who referred 3 years with mild effort dyspnea. During physical exploration right hemithorax was found with hypoventilated. Chest x-ray showed right diaphragmatic herniation. Computer tomography (CT) diagnosed Morgagni herniation. The patient was programmed for laparoscopic repair with double layer mesh and it was fixated with tackers.DiscussionMorgagni herniation corresponds to a genetical defect in the anteromedial diaphragm, this presentation is rare in adults. It represents 5% of congenital hernias.ConclusionLaparoscopic repair takes much less time to operate, faster recovery time and less postsurgical pain with short hospital stay.
Adult, Morgagni, Hernia, Adulto, Surgery
Adult, Morgagni, Hernia, Adulto, Surgery
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