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Non-traumatic trans-diaphragmatic intercostal hernia and cor pulmonale in a patient with poorly controlled
Syed Basharath Mehdi1, Salem Madi2, Jordan Sudworth3
1Lancashire Teaching Hospitals, Preston, Lancashire, UK.
Abstract:
Trans-diaphragmatic intercostal hernia is a rare entity. Patient with multiple medical comorbidities, including obstructive sleep apnoea, presents with shortness of breath, leg oedema and a bulging swelling through the right chest wall. CT shows partial herniation of the right lung and liver through intercostal space and an echocardiogram reveals right heart failure. He was treated initially with continuous positive airway pressure with poor response and subsequently treated with adaptive servo ventilation with much better symptomatic relief and treatment tolerance.
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