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Related Experiment Videos

[Spontaneous intercostal lung hernia].

K Togashi1, M Yazawa, Y Sato

  • 1Division of Thoracic and Cardiovascular Surgery, Nagaoka Red Cross Hospital, Niigata, Japan.

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|June 1, 1992
PubMed
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A rare case of spontaneous intercostal lung hernia in a 70-year-old man was successfully repaired using Gore-Tex patch. This thoracic wall defect, following coughing, highlights a rare condition not previously reported in Japan.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Medical Case Reports

Background:

  • Spontaneous intercostal lung hernia is a rare condition involving protrusion of lung tissue through the chest wall.
  • It typically presents as a painful bulge, often exacerbated by coughing or straining.
  • This condition is uncommon and infrequently reported in medical literature, particularly in certain geographic regions.

Observation:

  • A 70-year-old male presented with a painful left chest wall bulge after coughing.
  • Computed Tomography (CT) revealed lung herniation through the left eighth intercostal space.
  • Surgical exploration identified a 3 x 16 cm anterolateral defect in the thoracic wall.

Findings:

  • The defect was surgically repaired using a Gore-Tex (expanded polytetrafluoroethylene) patch.

Related Experiment Videos

  • The patch was secured with interrupted 3-0 Ethibond sutures.
  • The repair was successful, addressing the spontaneous intercostal lung hernia.

    • Implications:

    • This case contributes to the limited literature on spontaneous intercostal lung hernias.
    • It demonstrates the successful surgical management of this rare thoracic wall defect.
    • The report highlights the importance of considering rare conditions in differential diagnoses for chest wall abnormalities.