Intercostal lung herniation secondary to thoracotomy: a case report

Pan Afr Med J. 2020 May 27:36:39. doi: 10.11604/pamj.2020.36.39.20054. eCollection 2020.

Abstract

Intercostal lung herniation is defined as a protrusion of the lung parenchyma through a defect in the intercostal muscles between adjacent ribs. The authors report a case of intercostal pulmonary hernia in a 45-year-old male patient, with smoking habit (30 packs-year), presented to the emergency department with dyspnea. He had the history of pulmonary emphysema complicated with a total right pneumothorax in 2015 treated by mini-thoracotomy with bullectomy and pleural abrasion. In 2019, he was admitted to hospital for left chest pain. The computed tomography (CT) scan of the chest revealed a bilateral emphysema with intercostal lung hernia through the fourth intercostal space the patient underwent, a left thoracotomy with repair of the intercostal muscle defect. He was discharged from hospital free of complications.

Keywords: Hernia; chest; lung; surgery.

Publication types

  • Case Reports

MeSH terms

  • Hernia / diagnostic imaging
  • Hernia / etiology*
  • Humans
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / etiology*
  • Male
  • Middle Aged
  • Pulmonary Emphysema / diagnostic imaging
  • Pulmonary Emphysema / etiology
  • Thoracotomy / adverse effects*
  • Thoracotomy / methods
  • Tomography, X-Ray Computed