title: Spontaneous intercostal lung herniation complicated by rib fractures: a therapeutic dilemma.
abstract: Lung herniation has been defined as a protrusion of lung tissue through its bounding structure. We present a case of spontaneous intercostal lung herniation following bouts of cough, which was complicated by multiple rib fractures, in which we had to adopt a non-surgical approach due to the clinical circumstance. Its understanding in the field of internal medicine is important as appropriate therapeutic judgment, and long-term follow-up is essential for full recovery.
authors.affiliation: Division of Internal Medicine , Allegheny General Hospital, Allegheny Health Network , Pittsburgh, PA , USA.
authors.forename: Adil S
authors.initials: AS
authors.lastname: Wani
authors.affiliation: Division of Internal Medicine , Conemaugh Memorial Medical Centre , Johnstown, PA , USA.
authors.forename: Prachi
authors.initials: P
authors.lastname: Kalamkar
authors.affiliation: Division of Pulmonary Critical Care , Allegheny General Hospital, Allegheny Health Network , Pittsburgh, PA , USA.
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Alhassan
authors.affiliation: Division of Internal Medicine , Allegheny General Hospital, Allegheny Health Network , Pittsburgh, PA , USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Farrell