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Pulmonary hernia in a two-year-old child

Jenna Fine1, Bryan S Walters1, Alysia A Agnoni1

  • 1Department of Pediatric Surgery, Geisinger Health System, Janet Weis Children's Hospital, 100 N. Academy Avenue, M.C. 21-70, Danville, PA 17822, USA.

Case Reports in Surgery
|October 21, 2014
PubMed

Insights

Pulmonary hernia, a rare condition where lung tissue protrudes through the chest wall, can result from trauma. This case details the successful surgical repair of a pulmonary hernia in a pediatric patient following chest trauma.

Area of Science:

  • Thoracic Surgery
  • Pediatric Surgery
  • Pulmonology

Background:

  • Pulmonary hernia, or lung herniation, involves lung parenchyma protruding beyond the thoracic wall.
  • It is a rare condition, classified as congenital or acquired, with acquired cases often linked to chest trauma.
  • Acquired pulmonary hernias can arise from blunt or penetrating chest injuries.

Purpose of the Study:

  • To describe a case of acquired pulmonary hernia in a pediatric patient.
  • To document the diagnostic and surgical management of a traumatic pulmonary hernia.
  • To contribute to the limited literature on the surgical treatment of pulmonary hernias.

Main Methods:

  • A case report of a two-year-old male with a history of chest trauma.
  • Diagnostic imaging to identify pneumothorax and pulmonary herniation.
  • Surgical intervention via diagnostic thoracoscopy and hernia repair.

Main Results:

  • Imaging confirmed a small pneumothorax and pulmonary herniation in the left lower chest.
  • The patient underwent successful surgical repair of the pulmonary hernia in the 7th intercostal space.
  • The procedure was performed without complications.

Conclusions:

  • Acquired pulmonary hernia can occur following chest trauma, even in young children.
  • Surgical repair is an effective treatment for traumatic pulmonary hernias.
  • This case adds to the understanding of managing pulmonary hernias.

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