Posttraumatic intercostal pulmonary herniation – case report
Authors:
A. Turzová 1; R. Doležel 1; J. Malík 2; J. Hach 3; Radek Pohnán 1
Authors‘ workplace:
Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice, Praha
1; Radiodiagnostické oddělení, Ústřední vojenská nemocnice, Praha
2; Ortopedicko-traumatologické oddělení, Nemocnice Mělník
3
Published in:
Rozhl. Chir., 2021, roč. 100, č. 5, s. 243-245.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2021.100.5.246–248
Overview
Introduction: Pulmonary hernias are rare conditions, most are the results of an injury or previous thoracic surgery.
Case report: We present a case of a 48-year-old woman injured in a car accident. The examination in the trauma centre revealed a chest injury with herniation of the lung parenchyma into the chest wall and fractures of long bones of lower limbs. Initially, an osteosynthesis of the left femur and the right tibia fracture were performed. The patient underwent a subsequent surgery to repair the pulmonary hernia.
Conclusion: A pulmonary hernia is diagnosed either directly during a clinical examination or by imaging. A sovereign diagnostic method is a computed tomography. The method of treatment is a surgical repair with primary suture of the chest wall defect or implantation of a mesh to repair the pulmonary hernia.
Keywords:
lung hernia − chest wall defect − rib fracture
Sources
1. Patterson A, Cooper J, Deslauliers J, et al. Pearson’s thoracic and oesophageal surgery. 3. vydání. Philadelphia, Churchill Livingstone Elsevier 2008.
2. Moncada R, Vade A, Gimenez C, et al. Congenital and acquired lung hernias. J Thorac Imaging 1996;11(1):75–82. doi:10.1097/00005382-199601110- 00008.
3. Sadler M, Shapiro R, Wargreich J, et al. CT diagnosis of acquired intercostal lung herniation. Clin Imag. 1997;21:04–106. doi:10.1016/0899-7071(95)00098-4.
4. Haro A, Komiya K, Taguchi Y, et al. A rare case of an intercostal lung herniation with fractures of the fifth and sixth ribs after thoracic surgery. Int J Surg Case Rep. 2017;41:473–476. doi:10.1016/j. ijscr.2017.11.028.
5. Chandran S, Revanna GK, et al: Lung herniation: an uncommon presentation of Poland’s syndrome in a neonate at birth. BMJ Case Rep. 2013:bcr2013200106. doi:10.1136/bcr- 2013-200106.
6. Saiedi H, Bustangi N, Drevet G, et al. Periosteal flap repair for traumatic lung hernia. An old technique revisited. J Trauma Acute Care Surg. 2019;86(3):551–553. doi:10.1097/ta.0000000000002154.
7. Athanassiadi K, Bagaev E, Simon A, et al. Lung herniation: a rare complication in minimally invasive cardiothoracic surgery. Eur J Cardiothorac Surg. 2008;33(5):774–776. doi:10.1016/j. ejcts.2008.01.027.
8. Rooney MB, Mehl M, et al. Intercostal thoracotomy closure: transcostal sutures as a less painful alternative to circumcostal suture placement. Vet Surg. 2004;33(3): 209–213. doi:10.1111/j.1532- 950x.2004.04031.x.
9. El-Hag-Aly MA, Nashy RM. Double edge closure: a novel technique for reducing post-thoracotomy pain. A randomized control study. Interact Cardiovasc Thorac Surg. 2015;21(5):630–635. doi:10.1093/ icvts/ivv218.
10. Wcisło S, Wawrzycki M, et al. A new technique of pulmonary hernia surgical repair using intramedullary titanium implants. Polish Journal of Cardio-Thoracic Surgery 2015;1:26–29. doi:10.5114/ kitp.2015.50564.
11. Sulaiman A, Cottin V, De Souza Netto E, et al. Cough-induced intercostal lung herniation requiring surgery: report of a case. Surg Today 2006;36:978–980. doi:10.1701/1166.12901.
12. Chiang T, Yin M, Yang S, et al. Thoracoscopic management of incarcerated lung herniation after blunt chest trauma: a case report and literature review. J Thorac Dis. 2017;9(3):253–257. doi:10.21037/ jtd.2017.03.41.
13. Toschinari E, Kazuhito F, Akikazu K, et al. Incarceration hernia of the lung after video-assisted thoracic surgery requiring emergency operation: a case report. J Thorac Dis. 2018;10(7):541–543. doi:10.21037/jtd.2018.06.63.
14. Hořejší L, Derner M, Skvára D, et al. Interkostální plicní hernie. Ces Radiol. 2008;62(3):285–289.
15. Dzian A, Fúcela I, Stiegler P et al. Hernia pľúc po limitovanej torakotómií. Rozhl Chir. 2010 Sep;89(9):448–450. PMID: 21121154.
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2021 Issue 5
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