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Updated: Aug 19, 2025

Methods for Detecting Cough and Airway Inflammation in Mice
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["Literally torn apart by coughing"].

Anne Beate Kroczek1, Michael Mair2, Tsogyal Latshang3

  • 1Klinik für Innere Medizin, Landesspital Liechtenstein, Heiligkreuz 25, 9490, Vaduz, Liechtenstein.

Innere Medizin (Heidelberg, Germany)
|November 28, 2022
PubMed
Summary
This summary is machine-generated.

A severe cough caused a 53-year-old patient with COPD and pneumonia to rupture intercostal muscles. Lung tissue herniated, requiring two surgeries and a mesh implant for repair.

Keywords:
COPDHemoptysisIntercostal muscle ruptureIntrathoracic pressureLung herniation

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Medical Case Reports

Background:

  • Presents a rare case of severe respiratory distress in a patient with Chronic Obstructive Pulmonary Disease (COPD) and acute pneumonia.
  • Highlights the potential complications arising from severe coughing fits in patients with compromised respiratory function.

Observation:

  • A 53-year-old male patient experienced sudden, severe right-sided chest pain and hemoptysis following an intense coughing episode.
  • Clinical and radiological evaluations revealed a significant rupture of the right intercostal muscles.

Findings:

  • Herniation of the right lower lung lobe into the subcutaneous tissue and below the latissimus dorsi muscle was confirmed.
  • The patient underwent two surgical interventions, including a mesh insertion, to address the extensive muscle rupture and lung herniation.

Implications:

  • This case underscores the critical importance of managing severe coughing in COPD patients to prevent potentially devastating thoracic complications.
  • Illustrates a unique presentation of traumatic chest wall injury secondary to forceful coughing, necessitating specialized surgical management.
  • Suggests the need for increased awareness among clinicians regarding the risk of intercostal muscle rupture and lung herniation in patients with severe respiratory disease.