Complicated spontaneous intercostal lung hernia - A rare clinical case
Ivan Petkov Novakov1, Velizar Dafinov Hadzhiminev1, Pavel Todorov Timonov2
1Department of Special Surgery, Medical Faculty, Medical University, Plovdiv, Bulgaria.
Turkish Journal of Emergency Medicine
|December 1, 2021
Summary
Spontaneous intercostal lung hernia, a rare condition, can occur after heavy lifting. Conventional surgical repair offers low morbidity and good long-term results for this condition.
Area of Science:
- Thoracic Surgery
- Surgical Case Reports
- Pulmonology
Background:
- Spontaneous intercostal lung hernia is an uncommon condition.
- It can be associated with significant trauma and comorbidities.
Observation:
- A 46-year-old male with hypertension, heart failure, and diabetes presented with spontaneous intercostal lung hernia after heavy lifting.
- The hernia was complicated by hematoma, rib fracture, hemothorax, diaphragmatic laceration, and omentum herniation.
- Imaging confirmed a stable intercostal lung hernia.
Findings:
- Surgical repair was performed using a conventional thoracotomy approach.
- The patient experienced low morbidity and a good postoperative outcome.
- No recurrence or thoracic deformity was noted at 2-year follow-up.
Implications:
- This case highlights the successful management of a complex spontaneous intercostal lung hernia.
- Conventional surgical techniques remain effective for intercostal lung hernias.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
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