title: Cough-induced rib fracture and diaphragmatic rupture resulting in simultaneous abdominal visceral herniation into the left hemithorax and subcutaneously.
abstract: Violent coughing is associated with a multitude of complications including rib fractures and diaphragmatic rupture. In this report we present a case of a 70-year-old male with the rare combination of both complications resulting in herniation of bowel into the left hemithorax and subcutaneously between the separated ribs. Surgical repair was performed via a left thoracotomy, the hernia reduced and the diaphragmatic and chest wall defect repaired primarily with excellent patient recovery and relief of symptoms.
authors: University Hospital, Coventry, UK.
authors: Romany
authors: R
authors: Daniel
authors: Babu
authors: B
authors: Naidu
authors: Joseph
authors: J
authors: Khalil-Marzouk
mesh_terms: D000368:Aged; D003371:Cough / Q000150:complications*; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012253:Rib Fractures / Q000209:etiology*; D012421:Rupture / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed