MORGAGNI – LARREY HERNIA IN AN ADULT PATIENT

The article presents a clinical case of the treatment of a 30-year-old patient with a newly diagnosed diaphragmatic Morgagni – Larrey hernia. Among diaphragmatic hernias, Morgagni – Larrey pathology occurs in 26 % of cases, mostly on the right side. The article includes data on the options for surgical approach in abdominomediastinal hernias. In the described clinical observation, the planned surgical intervention was performed through laparotomy access. The hernia content included the transverse colon and the greater omentum, as it was in most cases presented in the literature. We removed the hernial sac and repaired the defect using local tissues of the diaphragm. Taking into account the decrease in the quality of life in this pathology, as well as the risks of complications, it is advisable for such patients to perform surgical intervention in an elective manner. The issues of choosing a surgical approach, the method of diaphragm plasty and the advisability of excising the hernial sac remain unresolved.