Traumatic intercostal pulmonary herniation: a case report.
We report a case of intercostal pulmonary hernia through a defect in the wall of the thoracic cavity which occurred after blunt thoracic trauma. Diagnosis of pulmonary herniation was confirmed radiologically by chest X-ray and computed tomographic scan. After initial inspection by video-assisted thoracoscopy which also revealed a diaphragmatic rupture, a postero-lateral thoracotomy was performed. The defect of the thoracic wall was repaired with two reconstruction plates. The hernia was successfully repaired with prosthetic mesh. Review of the literature shows that when required, surgical repair of pulmonary herniation is the treatment of choice.
Department of Surgery, Medical Centre Rijnmond Zuid, Rotterdam, The Netherlands. ejhazebroek@hotmail.com
Eric Jasper
EJ
Hazebroek
Han
H
Boxma
Peter D
PD
De Rooij
D000368:Aged; D003937:Diagnosis, Differential; D004638:Emergency Treatment; D005260:Female; D005409:Flail Chest / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed