title: Disruption of the costal margin with transdiaphragmatic abdominal herniation induced by coughing.
abstract: We present a case of disruption of the cartilage of the costal margin resulting in herniation of abdominal contents across the diaphragm into the chest and across a gap between the ribs into the subcutaneous tissues. The literature on this condition and its management is reviewed.
authors.affiliation: Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06520-8062, USA.
authors.forename: Cassius Iyad Ochoa
authors.initials: CI
authors.lastname: Chaar
authors.forename: Philipp
authors.initials: P
authors.lastname: Attanasio
authors.forename: Frank
authors.initials: F
authors.lastname: Detterbeck
mesh_terms: D003371:Cough / Q000150:complications*; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications