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Pathological pulmonary hernia in a patient with metastatic breast cancer
Aleksandra Pirjavec1, Ileana Lulic, Ivor Kovic
1Department of Surgery, Clinical Hospital Center Rijeka, Krevimirova 42, Rijeka, Croatia. aleksandra.pirjavec@gmail.com
Introduction:
Pathological pulmonary hernia is a rare clinical entity which can be caused by malignancies.
Clinical Picture:
A 72-year-old female presented with a painful bulge in the left 4th intercostal space. Chest radiography and computed tomography demonstrated a left pulmonary hernia, pleural effusion and destruction of ribs.
Treatment:
The hernia sac was excised and a part of the chest wall was resected with reconstruction of residual defect.
Outcome:
The patient died 2 years after the treatment.
Conclusions:
A multidisciplinary approach involving various medical specialists may offer patients with pathological pulmonary hernia remarkable palliation and better quality of life.
