PMC3015372_01
CT scan reveals the bowel herniated in the lower right anterior mediastinum.
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F1
A computed tomography showed a gross diaphragmatic anterior hernia with partial right and transverse colon migration (Figure 1).
Laparoscopic view of hernia of the foramen of Morgagni containing colon and omentum.
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F2
The herniated bowel was gently pulled down with grasping forceps and placed entirely into the abdominal cavity (Figures 2, 3 and 4).
Colon and omentum were gently pulled out from hernial defect.
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F3
The herniated bowel was gently pulled down with grasping forceps and placed entirely into the abdominal cavity (Figures 2, 3 and 4).
Videolaparoscopic view of hernial defect after reduction of its content. Only falciform ligament is in.
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F4
The herniated bowel was gently pulled down with grasping forceps and placed entirely into the abdominal cavity (Figures 2, 3 and 4).
An aspirate drainage was left in the sac before closing last stitches.
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F5
An aspirate drainage was left in the diaphragmatic defect (Figure 5).
Chest x-ray done after operation, showing no evidence of Morgagni's hernia.
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F6
A chest xray showed the successful laparoscopic closure of the diaphragmatic defect (Figure 6).
Chest x-ray done four years after the laparoscopic repair, showing no evidence of hernial recurrence.
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F7