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Conservative management of traumatic lung hernia
Jai Bikhchandani1, Marcus W Balters, Jeffrey T Sugimoto
1Department of Thoracic Surgery, Creighton University Medical Center, Omaha, Nebraska 68154, USA. jaibikhchandani@creighton.edu
The Annals of Thoracic Surgery
|February 28, 2012
Summary
Traumatic lung hernia, a rare injury from trauma, can sometimes resolve without surgery. This case highlights the potential for conservative management in select patients with post-traumatic lung hernia.
Area of Science:
- Pulmonology
- Trauma Surgery
- Thoracic Medicine
Background:
- Traumatic lung hernia is an uncommon consequence of chest trauma.
- Surgical intervention, typically thoracotomy, is the standard treatment to prevent pulmonary strangulation.
Observation:
- A 63-year-old male sustained a traumatic lung hernia after a 20-foot fall with multiple rib fractures.
- The patient's lung hernia was managed conservatively for 48 hours.
Findings:
- The herniated pulmonary segment demonstrated spontaneous resolution.
- This case challenges the routine surgical approach for traumatic lung hernia.
Implications:
- Conservative management may be a viable option for certain traumatic lung hernias.
- Further review of surgical versus non-surgical indications for traumatic lung hernia is warranted.
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