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Traumatic extrathoracic lung herniation.

Loïc Lang-Lazdunski1, Pierre-Mathieu Bonnet, François Pons

  • 1Department of Thoracic Surgery, Percy Military Hospital, Clamart, France. loic.lang@wanadoo.fr

The Annals of Thoracic Surgery
|September 20, 2002
PubMed
Summary
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Traumatic extrathoracic lung herniation is a rare complication of blunt chest trauma. Surgical repair of this condition can lead to full pulmonary function recovery.

Area of Science:

  • Traumatology
  • Thoracic Surgery
  • Pulmonology

Background:

  • Blunt chest trauma can lead to rare complications such as extrathoracic lung herniation.
  • This condition involves lung tissue protruding through a defect in the chest wall.

Observation:

  • A case is presented of a 46-year-old male involved in a motorcycle accident.
  • The patient sustained a left clavicle fracture-dislocation, multiple rib fractures, and massive herniation of the left upper lobe through an anterior chest wall defect.

Findings:

  • Immediate surgical intervention was performed using an atypical transcostal vertical thoracotomy.
  • The surgical repair successfully addressed the lung herniation and associated injuries.

Implications:

Related Experiment Videos

  • This case highlights the importance of recognizing and surgically managing traumatic extrathoracic lung herniation.
  • Prompt surgical repair can result in complete recovery of pulmonary function, as demonstrated at the 1-year follow-up.