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Transdiaphragmatic intercostal hernia induced by sternutation: A case report
Maria João Samúdio1, David João Aparício1, Maria Luísa Urbano2
1Departmento de Cirurgia, Centro Hospitalar Universitário de Lisboa Norte, Portugal.
Introduction And Importance:
Sternutation is, by definition, a situation that increases abdominal pressure. However, it has not been clearly linked to protrusion of abdominal content through weaknesses in the abdominal boundaries.
Case Presentation:
Here we present a case report in which the only trigger factor found for an abdominal content protrusion was a sternutation episode. The patient arrived in our institution with the diagnosis of a transdiaphragmatic intercostal hernia, proven in CT-scan. He was, then, submitted to emergent surgery, where through thoracotomy and subcostal laparotomy, hernia content was reduced. The patient had a favorable evolution.
Clinical Discussion:
TDIH is a rare entity, for which there are still no consensus regarding its management. This makes clinical practice more challenging, leaving to the surgeon the therapeutic decision tailored to each patient.
Conclusion:
This entity should be further studied, and consensus reached regarding its management.
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