title: [A rare complication after a violent coughing attack].
abstract: A 85-year-old man presented to the emergency department with acute onset of right-sided chest pain after vigorous coughing. Physical examination revealed a progressive hematoma and a palpable bulge that enlarged with expiration. A CT-Scan confirmed a lateral lung herniation with a dissection of the intervertebral muscle. The Patient underwent a surgical reconstruction of the chest wall defect and an additional Mersilene Mesh repair of a consecutive diaphragmal rupture. The patient had an uneventful recovery and was discharged on postoperative day 11.
authors: Medizinische Universitätsklinik, Kantonsspital Baselland - Standort Bruderholz.
authors: Lukas
authors: L
authors: Meier
authors: Francesca
authors: F
authors: Malè Sonderegger
authors: Oliver
authors: O
authors: Tanneberger
authors: Helmut
authors: H
authors: Rasch
authors: Didier
authors: D
authors: Lardinois
mesh_terms: D000369:Aged, 80 and over; D002637:Chest Pain / Q000209:etiology*; D003371:Cough / Q000150:complications*; D003937:Diagnosis, Differential; D018450:Disease Progression; D006406:Hematoma / Q000175:diagnosis / Q000601:surgery; D006547:Hernia / Q000175:diagnosis*; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D008171:Lung Diseases / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D012141:Respiratory Tract Infections / Q000150:complications*; D014057:Tomography, X-Ray Computed