Incarcerated intercostal lung hernia in a thoracoabdominal trauma. Case report and literature review

Authors

  • Sílvia Raquel Coelho da Silva Centro Hospitalar do Tamega e Sousa, EPE
  • Filipa Carneiro Centro Hospitalar do Tamega e Sousa, EPE
  • João Barros da Silva Centro Hospitalar do Tamega e Sousa, EPE
  • Mónica Rocha Centro Hospitalar do Tamega e Sousa, EPE
  • João Pinto-de-Sousa Centro Hospitalar do Tamega e Sousa, EPE

Abstract

Intercostal lung hernia is an uncommon entity, mostly resulting from violent chest trauma. In this report, a case of a patient with a post-traumatic incarcerated pulmonary herniation is presented, and we also describe a brief literature review on this subject. This case is about a polytraumatized patient, whose chest trauma caused a lung hernia. Urgent surgical intervention, which was imposed by cardio-respiratory instability, involved a thoracic and abdominal approach, therefore allowing repair of both pulmonary and intra-abdominal lesions.

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Author Biographies

Sílvia Raquel Coelho da Silva, Centro Hospitalar do Tamega e Sousa, EPE

Interna de Formação Específica em Cirurgia Geral

Centro Hospitalar do Tamega e Sousa, EPE

Filipa Carneiro, Centro Hospitalar do Tamega e Sousa, EPE

Assistente Hospitalar de Cirurgia

Centro Hospitalar do Tamega e Sousa, EPE

João Barros da Silva, Centro Hospitalar do Tamega e Sousa, EPE

Assistente Graduado Sénior de Cirurgia

Centro Hospitalar do Tamega e Sousa, EPE

Mónica Rocha, Centro Hospitalar do Tamega e Sousa, EPE

Assistente Hospitalar de Cirurgia

Centro Hospitalar do Tamega e Sousa, EPE

João Pinto-de-Sousa, Centro Hospitalar do Tamega e Sousa, EPE

Assistente Graduado Sénior de Cirurgia

Centro Hospitalar do Tamega e Sousa, EPE

References

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Lanier ST, Wetterau M, Smith-Singares E, Bilfinger T, Vosswinkel J, Shapiro MJ, et al. Management of pulmonary hernia through a flail segment in closed thoracic trauma using open reduction, internal fixation and pectoralis major flap reconstruction: A case report. The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique. 2011;19(4):145-7. Epub 2011/01/01.

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Weissberg D, Refaely Y. Hernia of the lung. The Annals of thoracic surgery. 2002;74(6):1963-6. Epub 2003/03/20.

Francois B, Desachy A, Cornu E, Ostyn E, Niquet L, Vignon P. Traumatic pulmonary hernia: surgical versus conservative management. The Journal of trauma. 1998;44(1):217-9. Epub 1998/02/17.

Khalil MW, Masala N, Waller DA, Cardillo G. Surgical repair of post-traumatic lung hernia using a video-assisted open technique. Interactive cardiovascular and thoracic surgery. 2008;7(3):506-7. Epub 2008/02/15.

Published

2017-10-10

Issue

Section

Clinical Case