Laparoscopic Repair of an Adult Bilateral Retrosternal Hernia prolapsed with the Stomach and Transverse Colon: A Case Report

Yoichiro Mori, Takao Kasugai and Kazutaka Sakakibara

Department of Surgery, Ogaki Tokushukai Hospital

Adult bilateral retrosternal hernia is very rare. A 87-year-old woman seen for repeated nausea, vomiting, and epigastralgia was found in computed tomography (CT) to have a bilateral retrosternal hernia prolapsed with the stomach the right hernia sac and the transverse colon the left. Laparoscopic surgery recognized two hernia sacs in the anterior aspect of the diaphragm, but with the transverse colon herniated into the right hernia sac, unlike on CT. The herniated transverse colon was easily placed into the abdominal cavity and Composix mesh placed over the bilateral hernia hilum without hernia sac resection. Postoperative recovery was uneventful and the woman has remained free of recurrence and complications in the 10 months since surgery.

Key words
laparoscopic surgery, bilateral retrosternal hernia, diaphragmatic hernia

Reprint requests
Yoichiro Mori Department of Surgery, Ogaki Tokushukai Hospital
6-85-1 Hayashimachi, Ogaki, 503-0015 JAPAN

Accepted
April 28, 2010

To read the PDF file you will need Abobe Reader installed on your computer.