Morgagni hernia is a retrosternal defect between the sternum and the costal attachments of the diaphragm, first described in 1769 (1,2) . The defect is congenital and occurs in childhood but is not diagnosed until later in life when pulmonary, gastrointestinal, or nonspecific thoracoabdominal symptoms such as pressure or pain occur (1) . Pulmonary symptoms may include shortness of breath or recurrent pneumonia. Gastrointestinal symptoms include gastroesophageal reflux, dysphagia, regurgitation, or obstruction (1)(2)(3) . These symptoms usually lead to diagnostic workup, including cross-sectional imaging, leading to elective repair. The rarity of the diagnosis makes it difficult to standardize recommendations for the method of repair. Recently, this rare condition has been treated with a robotic-assisted procedure (1)(2)(3)(4)(5)(6) . This video demonstrates a robotic repair of a Morgagni hernia in an adult. We present the case of a 43-year-old woman who has been suffering from gastroesophageal reflux for a long time. Recently, she complained of dyspnea and was hospitalized for investigation of a possible pulmonary infection. CT and MRI showed a large Morgagni hernia with a major omentum herniating into the anterior mediastinum (FIGURE 1A).
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