Complicated spontaneous intercostal lung hernia - A rare clinical case

Spontaneous lung herniation is a rare pathological entity. We present a case of intercostal type of spontaneous lung hernia after heavy lifting complicated with huge soft tissue hematoma, single rib fracture, hemothorax, diaphragmatic laceration, and great omentum pleural cavity herniation in a 46-y...

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Autores principales: Ivan Petkov Novakov, Velizar Dafinov Hadzhiminev, Pavel Todorov Timonov
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/7d6d12ffd3e34bd999c12083cbc98a09
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spelling oai:doaj.org-article:7d6d12ffd3e34bd999c12083cbc98a092021-11-12T11:16:12ZComplicated spontaneous intercostal lung hernia - A rare clinical case2452-247310.4103/2452-2473.329628https://doaj.org/article/7d6d12ffd3e34bd999c12083cbc98a092021-01-01T00:00:00Zhttp://www.turkjemergmed.org/article.asp?issn=2452-2473;year=2021;volume=21;issue=4;spage=221;epage=224;aulast=Novakovhttps://doaj.org/toc/2452-2473Spontaneous lung herniation is a rare pathological entity. We present a case of intercostal type of spontaneous lung hernia after heavy lifting complicated with huge soft tissue hematoma, single rib fracture, hemothorax, diaphragmatic laceration, and great omentum pleural cavity herniation in a 46-year-old man. His comorbidities were arterial hypertension, congestive heart failure, and type II diabetes mellitus and had no history of trauma, surgical procedures in his thoracic wall, or chronic obstructive pulmonary disease. Physical examination revealed a huge left-sided flank hematoma. Chest X-ray determined stable intercostal lung hernia confirmed by chest computed tomography. Conventional approach by left mid-lateral thoracotomy was used for surgical repair of the lung hernia and stabilization of the intercostal space. The patient was discharged on the 9th postoperative day in a good condition. Control examination 2 years after the operation found no deformation of the thorax or recurrence of the lung hernia. This is a case of interest of spontaneous intercostal lung hernia because of the number and type of associated injuries. This case demonstrates low morbidity and good postoperative result by conventional surgery in intercostal lung hernias.Ivan Petkov NovakovVelizar Dafinov HadzhiminevPavel Todorov TimonovWolters Kluwer Medknow PublicationsarticlehernialungthoracotomyMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTurkish Journal of Emergency Medicine, Vol 21, Iss 4, Pp 221-224 (2021)
institution DOAJ
collection DOAJ
language EN
topic hernia
lung
thoracotomy
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle hernia
lung
thoracotomy
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Ivan Petkov Novakov
Velizar Dafinov Hadzhiminev
Pavel Todorov Timonov
Complicated spontaneous intercostal lung hernia - A rare clinical case
description Spontaneous lung herniation is a rare pathological entity. We present a case of intercostal type of spontaneous lung hernia after heavy lifting complicated with huge soft tissue hematoma, single rib fracture, hemothorax, diaphragmatic laceration, and great omentum pleural cavity herniation in a 46-year-old man. His comorbidities were arterial hypertension, congestive heart failure, and type II diabetes mellitus and had no history of trauma, surgical procedures in his thoracic wall, or chronic obstructive pulmonary disease. Physical examination revealed a huge left-sided flank hematoma. Chest X-ray determined stable intercostal lung hernia confirmed by chest computed tomography. Conventional approach by left mid-lateral thoracotomy was used for surgical repair of the lung hernia and stabilization of the intercostal space. The patient was discharged on the 9th postoperative day in a good condition. Control examination 2 years after the operation found no deformation of the thorax or recurrence of the lung hernia. This is a case of interest of spontaneous intercostal lung hernia because of the number and type of associated injuries. This case demonstrates low morbidity and good postoperative result by conventional surgery in intercostal lung hernias.
format article
author Ivan Petkov Novakov
Velizar Dafinov Hadzhiminev
Pavel Todorov Timonov
author_facet Ivan Petkov Novakov
Velizar Dafinov Hadzhiminev
Pavel Todorov Timonov
author_sort Ivan Petkov Novakov
title Complicated spontaneous intercostal lung hernia - A rare clinical case
title_short Complicated spontaneous intercostal lung hernia - A rare clinical case
title_full Complicated spontaneous intercostal lung hernia - A rare clinical case
title_fullStr Complicated spontaneous intercostal lung hernia - A rare clinical case
title_full_unstemmed Complicated spontaneous intercostal lung hernia - A rare clinical case
title_sort complicated spontaneous intercostal lung hernia - a rare clinical case
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/7d6d12ffd3e34bd999c12083cbc98a09
work_keys_str_mv AT ivanpetkovnovakov complicatedspontaneousintercostallungherniaarareclinicalcase
AT velizardafinovhadzhiminev complicatedspontaneousintercostallungherniaarareclinicalcase
AT paveltodorovtimonov complicatedspontaneousintercostallungherniaarareclinicalcase
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