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Published on: September 11, 2021
[Lung hernia provoked by a cough fit]
S Aguir1, G Boddaert1, G Weber2
1Service de chirurgie thoracique et vasculaire, hôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
Rare lung hernias, a protrusion of lung tissue through the chest wall, can be congenital or acquired. This case highlights a lung hernia triggered by a severe cough in a patient with chronic bronchitis.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Diagnostics
Background:
- Lung hernias, defined as lung parenchyma protrusion through the chest wall, are uncommon with poorly understood pathogenesis.
- Classified as congenital or acquired (post-traumatic, post-surgical), they can be exacerbated by forceful actions like coughing.
- Diagnosis relies on clinical presentation, confirmed by imaging like chest radiography and computed tomography (CT).
Observation:
- This report details a rare case of a right basi-thoracic lung hernia.
- The hernia was directly induced by a severe cough fit.
- The patient had a pre-existing diagnosis of chronic bronchitis.
Findings:
- The case illustrates an acquired lung hernia precipitated by a forceful cough in a patient with underlying lung disease.
- Computed tomography (CT) is crucial for confirming the diagnosis and assessing the defect size.
- Potential complications include lung incarceration, necrosis, and respiratory distress.
Implications:
- This case underscores the importance of considering lung hernias in patients with chronic cough and respiratory symptoms.
- Surgical intervention is the primary treatment, with decisions guided by hernia characteristics and patient factors.
- Further research into the pathogenesis and optimal management of lung hernias is warranted.
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