title: A painful sneeze: spontaneous thoracic lung herniation induced by vigorous sneeze.
abstract: Lung herniation, defined as the protrusion of lung tissue outside the normal boundaries of thoracic cage, is an unusual event. This most commonly occurs as a consequence of thoracic trauma. Spontaneous subtypes of lung herniation are rare with only a few cases reported in medical literature. We present a 63-year-old male who presented with spontaneously herniated lung after an episode of vigorous sneezing. The possible underlying mechanisms, important physical examination and diagnostic imaging findings, and aspects of management considerations are briefly discussed.
authors.affiliation: *Department of Pulmonary Medicine & Critical Care, Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK †Department of Pulmonary Medicine and Tuberculosis, Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Bhardwaj
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Bhardwaj
authors.forename: Houssein A
authors.initials: HA
authors.lastname: Youness
mesh_terms: D006547:Hernia / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000000981:diagnostic imaging*; D012912:Sneezing; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed