title: [Emergency Surgery for a Lung Hernia after Resection of a Metastatic Rib Tumor;Report of a Case].
abstract: The patient was a 60-year-old woman who underwent chest wall resection for a metastatic tumor in the anterior portion of the right 3rd rib, from thyroid cancer. The anterior portion of the right 3rd rib and the 2nd and 3rd intercostal muscles were resected, and chest wall reconstruction was not performed. On the 5th postoperative day, the patient developed a pulmonary hernia. Radiologically, more than half of the right upper lobe and middle lobe were prolapsed from the resected chest wall. The patient complained of cough and dyspnea, and an emergency surgery was performed. Elevated intrathoracic pressure due to obesity was considered to be a serious risk factor of the lung hernia after chest wall resection without reconstruction.
authors.affiliation: Department of Respiratory Surgery, The Second Okamoto General Hospital, Uji, Japan.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Yoshizawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Murasawa
authors.forename: Hisao
authors.initials: H
authors.lastname: Ishida
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kuwabara
mesh_terms: D004638:Emergency Treatment; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008171:Lung Diseases / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D012272:Ribs; D013899:Thoracic Neoplasms / Q000556:secondary / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000473:pathology