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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.
International Journal of Surgery Case Reports
|June 12, 2024
Summary
Sternutation, or sneezing, can cause abdominal content protrusion. This case report highlights sneezing as the sole trigger for a transdiaphragmatic intercostal hernia, emphasizing the need for further study.
Area of Science:
- Medical Case Reports
- Surgical Pathology
- Abdominal Wall Defects
Background:
- Sternutation is known to increase intra-abdominal pressure.
- The direct link between sternutation and abdominal content protrusion has not been clearly established.
- Transdiaphragmatic intercostal hernia (TDIH) is a rare condition with no established management consensus.
Observation:
- A case report detailing a patient presenting with a transdiaphragmatic intercostal hernia.
- The hernia was diagnosed via CT scan.
- The patient's only identified trigger for the protrusion was an episode of sternutation.
Findings:
- Emergent surgery involving thoracotomy and subcostal laparotomy was performed.
- Hernial contents were successfully reduced.
- The patient experienced a favorable post-operative recovery.
Implications:
- This case suggests sternutation as a potential, previously unconfirmed, trigger for abdominal content protrusion.
- Highlights the challenges in managing rare conditions like TDIH.
- Underscores the need for further research and consensus on TDIH management strategies.
Keywords:
Abdominal diaphragmatic herniaCase reportPleuroperitoneal herniaSternutationTDIHTransdiaphragmatic intercostal herniaMore Related Videos
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