title: [Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit].
abstract: One case of transdiafragmatic intercostal hernia after intense coughing fit followed by rib fractures in patient with history of pneumonia is presented. He had a severe coughing fit, developed a right toracoabdominal hematoma and then a tumor that was gradually enlarging. Image exams confirmed the diagnosis. Treatment consisted of surgical repair with the use of a polypropylene prosthetic mesh. It is a rare type of hernia. Only four cases were found in literature. The sooner the disease is diagnosed and treated the better the prognoses will be since it will prevent hernia from strangulation and incarceration.
authors.affiliation: Faculdade de Medicina do ABC, São Bernardo do Campo, SP, BR. achenriques@uol.com.br
authors.forename: Alexandre Cruz
authors.initials: AC
authors.lastname: Henriques
authors.forename: Carina Rosa
authors.initials: CR
authors.lastname: Malena
authors.forename: Andréa Cristina Oliveira
authors.initials: AC
authors.lastname: Freitas
authors.forename: Jaques
authors.initials: J
authors.lastname: Waisberg
authors.forename: Adilson Casemiro
authors.initials: AC
authors.lastname: Pires
mesh_terms: D000368:Aged; D003371:Cough / Q000150:complications*; D005598:Fractures, Spontaneous / Q000150:complications*; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006801:Humans; D008297:Male; D012253:Rib Fractures / Q000150:complications*; D012272:Ribs