Isolated congenital inter-costal pulmonary hernia: a case report

Area of Science:

• Pediatric Surgery
• Thoracic Surgery
• Medical Case Reports

Background:

• Intercostal lung herniation is uncommon, with congenital cases being rare and acquired forms more prevalent.
• Isolated congenital intercostal pulmonary hernia is exceptionally rare, with only one prior reported instance.

Observation:

• A 10-year-old boy presented with a progressively worsening right hemithorax swelling and pain since birth.
• Clinical examination revealed a localized swelling exacerbated by respiratory movements and Valsalva maneuvers.

Findings:

• The case represents the second reported instance of isolated congenital intercostal pulmonary hernia in the French and English literature.
• Thoracoscopic treatment was successfully employed, marking a novel therapeutic approach for this condition.

Implications:

• This case underscores the importance of considering rare congenital anomalies in pediatric patients with chest wall swelling.
• The successful thoracoscopic intervention suggests a potential minimally invasive treatment option for intercostal lung hernias.