The waiting game: laparoscopic repair of dual Morgagni and p
Morgagni hernias are rarely encountered in elderly patients, as they are congenital diaphragmatic defects typically diagnosed at a young age, requiring early surgical repair.

An 83-year-old female with a history of stage IV invasive ductal carcinoma of the right breast initially diagnosed at age 78, who was status post right modified radical mastectomy, and chemotherapy and radiation therapy directed at sacral bone metastasis, presented to the emergency department with chest pain. The patient had progressively worsening severe, squeezing substernal chest pain for 5 days, escalating from mild to severe pain.

A computed tomography (CT) pulmonary angiogram with intravenous (IV) contrast performed 2 years prior for similar, but less intense, substernal chest pain demonstrated a non-strangulated Morgagni hernia and a large PEH.

This case is only the second report of a concurrent Morgagni hernia and PEH repair utilizing robotic technology

Source: Journal of surgical case reports

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