Case Report

Laparoscopic Repair of Morgagni Hernia Combined with Right Hemicolectomy for Bleeding Ascending Colon Carcinoma Lodged within the Chest: A Case Report and Review of the Literature

Table 1

Results from review of the literature.

#AuthorsYearOriginAgem/fType of herniaClinical presentationImagingColonoscopySurgical approachColectomyHernia repairCommentsOutcome

1Dawson RE1977KY, USA67fMorgagni herniaMalaise, anemiaBarium enema: obstructing colon mass within Morgagni herniandMidline laparotomyTransverse colectomyPrimary closure1st case, part of series of Morgagni hernia repairsUneventful recovery; had liver metastases at time of surgery
2Doutre LP1980France78fMorgagni herniaBowel obstructionBarium enema: no tumor seen but Morgagni herniandMidline laparotomyRight hemicolectomyPrimary closurePublished in FrenchUneventful recovery
3Kochling G1990Germany51mLeft Morgagni or Bochdalek herniaWeight loss, diarrhea, leukocytosisCT scan: Morgagni hernia, liver lesionsMass in intrathoracic ascending colonPalliative chemotherapy, secondary midline laparotomyPalliative ileocolic anastomosisNDAPublished in German; described as left chest Morgagni hernia; distal transverse colon cancerDied from tumor progression after 3 months
4Arslan A2000Norway60f4 cm Morgagni herniaWeight loss, epigastric pain, shortness of breathCT scan: pleural empyema, 10 cm colon mass in Morgagni herniandEmergent pleural empyema drainage, then right thoracotomySegmental colectomyPrimary closureNot in PubMedNDA
5Pappas-Gogos G2007Greece66mTraumatic left diaphragmatic herniaLeft chest painCT scan: colon mass in traumatic diaphragmatic herniandLeft thoracoabdominal incisionLeft hemicolectomyPTFE patch closureTraumatic left-sided hernia; splenic flexure cancerUneventful recovery, well after two years
6Turner G2013New Zealand50mMorgagni herniaConstipation, abdominal painCT scan: cecal mass in Morgagni hernia; PET: cecal FDG uptakendChevron incisionRight hemicolectomyPrimary closureAppendix adenocarcinoma; Morgagni hernia known from cxr 5 years earlierUneventful recovery
7Gaco S2013Bosnia & Herzegovina85m7 cm Morgagni herniaAcute colonic obstructionCT scan: obstructed colon in Morgagni hernia, no massndEmergency midline laparotomyPalliative ileocolic anastomosis (locally advanced cancer)Primary closureEmergent caseDischarged after 3 days, palliative chemotherapy; alive after 10 months
8Rabal Fueyo A2018Spain49f5 cm Morgagni herniaAbdominal painCT scan: colon mass in Morgagni herniaNDALaparoscopyExtended right hemicolectomy through limited laparotomyNonabsorbable MESH closure1st laparoscopic approach: only hernia repairDischarged after 7 days; no FU data
9Current case2020MD, USA70m7 cm Morgagni herniaFatigue, SOBCT scan: Morgagni herniaMass in intrathoracic ascending colonLaparoscopyLaparoscopic right hemicolectomy with extracorporeal anastomosisTransfascial sutures; absorbable MESH and peritoneal flap1st total laparoscopic caseDischarged after 5 days; died after 5 months from complications of chemotherapy

Abbreviations: m: male; f: female; nd: not done; NDA: no data available; KY: Kentucky; MD: Maryland; PTFE: polytetrafluoroethylene.