Spontaneous pulmonary herniation in COVID-19

Area of Science:

• Pulmonology
• Thoracic Surgery
• Infectious Diseases

Background:

• Spontaneous pulmonary hernia (SPH) is an uncommon condition.
• It involves lung tissue protruding through the chest wall without obvious trauma.
• SPH can be associated with conditions causing increased intrathoracic pressure.

Observation:

• A case of SPH is presented secondary to extreme coughing and COVID-19 infection.
• The patient exhibited characteristic clinical signs of SPH.
• These included severe pain during coughing, a flank hematoma, and visible chest wall bulging upon coughing.

Findings:

• The presented case underscores the link between severe coughing, COVID-19, and the development of SPH.
• The clinical manifestations observed are typical for spontaneous pulmonary hernia.
• Prompt recognition of these features is crucial for timely diagnosis.

Implications:

• Clinicians must maintain a high index of suspicion for SPH in patients presenting with relevant risk factors and symptoms.
• Awareness of SPH's risk factors and clinical presentation can improve diagnostic accuracy.
• Early diagnosis and management are essential for favorable patient outcomes in SPH.