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Spontaneous intercostal pulmonary hernia.

M Rusca¹, P Carbognani, L Cattelani

¹Departement of Thoracic and Vascular Surgery, University of Parma, Italy. rusmich@nemo.unipr.it

The Journal of Cardiovascular Surgery

|October 29, 2000

Summary

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A rare spontaneous intercostal pulmonary hernia occurred in a 67-year-old man due to forceful coughing. Surgical repair with mesh and rib approximation proved successful, highlighting surgery as the preferred treatment.

Area of Science:

Thoracic Surgery
Pulmonology
Medical Case Reports

Background:

Acquired pulmonary hernias are uncommon, with most cases resulting from trauma.
Spontaneous pulmonary hernias are rare and typically linked to sustained increases in intrathoracic pressure.

Observation:

A 67-year-old male presented with a spontaneous intercostal pulmonary hernia.
The hernia was attributed to vigorous coughing, indicating a spontaneous cause rather than trauma.

Findings:

The spontaneous intercostal pulmonary hernia was successfully repaired surgically.
The surgical technique involved using a polyglactin absorbable mesh and approximating ribs with heavy stitches.

Implications:

This case underscores that spontaneous pulmonary hernias can occur due to increased intrathoracic pressure.

Related Experiment Videos

Surgical intervention is the definitive treatment for symptomatic pulmonary hernias when required.