Ces radiol. 2008, 62(3):285-289

Intercostal lung herniaCase report

Lenka Hořejší1, Milouš Derner1, David Škvára1, Václav Švadleňák2
1 Radiologické oddělení, Krajská zdravotní, a.s. - Masarykova nemocnice v Ústí nad Labem, o.z.
2 Oddělení hrudní chirurgie, Krajská zdravotní, a.s. - Masarykova nemocnice v Ústí nad Labem, o.z.

Lung hernia is an abnormal protrusion of the lung beyond the confines of the thoracic cage. Lung hernia is an uncommon entity with fewer than 300 cases reported in the literature. We herein report three additional cases of aquired lung herniation through the intercostal space. All patients were in range 54-75 years. In two patients herniation occured in connnection with respiratory disorders and in one patient in connection with rib fracture. In all cases herniation dispays soft sometimes painful bulge increasing during coughing or Valsalva maneuver. Hernias were demonstrated on chest radiographs and clearly shown on CT scans. Surgery confirmed in our patients fractures of ribs with consecutive atrophy of intercostal muscles.

Keywords: CT, thoracic wall, lung hernia, rib fractures

Accepted: July 17, 2008; Published: September 1, 2008  Show citation

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Hořejší L, Derner M, Škvára D, Švadleňák V. Intercostal lung hernia. Ces radiol. 2008;62(3):285-289.
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    References

    1. Piroth C, Krings F, Krűger IM. Lungenhernie nach einmaliger Hustenattacke. Zentralbl Chir 2004; 129: 67-69. Go to original source... Go to PubMed...
    2. Schnűringer B, Lerf B. Unstable thorax after a coughing fit in a 70-year-old adipose patient. Chirurg 2006; 77: 459-462. Go to original source... Go to PubMed...
    3. Sukkarieh F, Vanmeerhaeghe A, Brasseur P. Hernie pulmonaire: à propos d'un cas de hernie intercostale post-traumatique. J Radiol 2002; 83: 1085-1087.
    4. Ayers DE, LeFeuvre A, Barker P. Surgical repair of intercostal pulmonary hernia secondary tocough induced rib fracture. J R Nav Med Serv 2002; 88: 55-56. Go to original source...
    5. Goverde P, Van Schil P, Van der Brande F, Vanmele R. Chronic herniation of the lung in a patient with chronic obstructive pulmonary disease. Case report and review of the literature. Thorac Cardiovasc Surg 1998; 46: 164-166. Go to original source... Go to PubMed...
    6. Bousson V, Arrivé L. Lung herniation occuring after video-assisted thoracic surgery. Am J Roentgenol 1999; 172: 1145-1146. Go to original source... Go to PubMed...
    7. Munnell ER. Herniation of the lung. Ann Thorac Surg 1968; 5: 204-207. Go to original source... Go to PubMed...
    8. Morel-Lavallée A. Hernies du poumon. Bull Mem Soc Chir Paris 1845-1847; 1: 75-195.
    9. Hiscoe B, Digman J. Types and incidence of lung herniation. J Thorac Cardiovasc Surg 1990; 49: 670.
    10. Moncada R, Vade A, Gimenez C. Congenital and acquired lung hernias. J Thorac Imag 1996; 11: 75-82. Go to original source... Go to PubMed...
    11. Tack D, Wattiez A, Schtickzelle J-C, Delcour C. Spontaneous lung herniation after a single cough. Europ Radiol 2000; 10: 500-502. Go to original source... Go to PubMed...
    12. Bhalla M, Leitman BS, Forcade C, Stern E, Naidich DP, and McCauley DI. Lung hernia: radiographic features. AJR Am J Roentgenol 1990; 154: 51-53. Go to original source... Go to PubMed...
    13. Janík M, Veréb J, Vajó J. Cervikálná plucná hernia. Rozhledy v chirurgii 2001; 80: 24-26.
    14. McAdams HP, Gordon DS, White CS. Apical lung hernia: radiographic findings in six patients. AJR Am J Roentgenol 1996; 167: 927-930. Go to original source... Go to PubMed...
    15. Saw EC, Yokohama T, Lee BC, Sargent EN. Intercostal pulmonary hernia. Arch Surg 1976; 111: 548-551. Go to original source... Go to PubMed...
    16. Khan AS, Bakhshi GD, Khan AA, Kerkar PB, Charvan PR, Sarangi S. Transdiaphragmatic intercostal hernia due to chronic cough. Ind J Gastroent 2006; 25: 92-93.
    17. Tamburro F, Grassi R, Romano S, and Del Vecchio M Acquired Spontaneous Intercostal Hernia of the Lung Diagnosed on Helical CT. Am. J. Roentgenol 2000; 174: 876-877. Go to original source... Go to PubMed...

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