J Minim Access Surg
. 2025 Nov 24.
doi: 10.4103/jmas.jmas_299_25. Online ahead of print.
Laparoscopic repair of an incidental Morgagni hernia during cholecystectomy: A case report
Devender Singh 1, Jyoti Sharma 1, Niharika Grover 2, Piyush Ranjan Mishra 1, Yashwant Singh Rathore 1, Sunil Chumber 1
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- PMID: 41277243
- DOI: 10.4103/jmas.jmas_299_25 https://pubmed.ncbi.nlm.nih.gov/41277243/
Free article
Abstract
Morgagni hernia is a rare congenital diaphragmatic defect, often asymptomatic and incidentally discovered. Its co-occurrence with gallstone disease is exceedingly rare. We present the case of an 84-year-old female, planned for laparoscopic cholecystectomy, with an incidental diagnosis of a 3 cm × 2 cm Morgagni hernia during laparoscopy. She underwent simultaneous primary repair of the hernia along with laparoscopic cholecystectomy. Post-operative recovery was uneventful, and the patient remains asymptomatic at 6-month follow-up. This case highlights the rare co-existence of gallstone disease and Morgagni hernia. Existing literature reports few such cases, and simultaneous laparoscopic management remains infrequent. This case also emphasises the benefit of laparoscopy, offering both diagnostic clarity and therapeutic benefit in managing concurrent intra-abdominal pathologies.
Keywords: Cholelithiasis; Morgagni hernia; diaphragmatic defect; epigastric pain; incidental hernia; laparoscopic surgery.
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