title: Acquired abdominal intercostal hernia: a case report and literature review.
abstract: Acquired abdominal intercostal hernia (AAIH) is a rare disease phenomenon where intra-abdominal contents reach the intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. We discuss a case of a 51-year-old obese female who arrived to the emergency room with a painful swelling between her left 10th rib and 11th rib. She gave a history of a stab wound to the area 15 years earlier. A CT scan revealed a fat containing intercostal hernia with no diaphragmatic defect. An open operative approach with a hernia patch was used to repair this hernia. These hernias are difficult to diagnose, so a high clinical suspicion and thorough history and physical exam are important. This review discusses pathogenesis, clinical presentation, complications, and appropriate treatment strategies of AAIH.
authors.affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Salim
authors.identifier: 0000-0002-9528-9075
authors.initials: S
authors.lastname: Abunnaja
authors.affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Kevin
authors.identifier: 0000-0002-0985-1915
authors.initials: K
authors.lastname: Chysna
authors.affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Inam
authors.identifier: 0000-0003-0003-1483
authors.initials: I
authors.lastname: Shaikh
authors.affiliation: The Stanley Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tripodi