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Case of intercostal lung hernia with hemosputum that developed after thoracoscopic lobectomy

Hiroshi Haneda1, Katsuhiro Okuda1, Ryoichi Nakanishi1

  • 1Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Asian Journal of Endoscopic Surgery
|October 19, 2018
PubMed

Insights

Intercostal lung hernia, a rare complication after lung surgery, can occur due to elevated intrathoracic pressure. Right upper lobectomy appears to be a specific anatomical risk factor for this condition.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Surgical Complications

Background:

  • Intercostal lung hernia involves lung tissue protruding through a chest wall defect.
  • It is an uncommon complication following lobectomy, often asymptomatic.

Observation:

  • A case of intercostal lung hernia after thoracoscopic right upper lobectomy presented with hemosputum.
  • Obesity and bronchial asthma were identified as contributing factors to elevated intrathoracic pressure.

Findings:

  • Right upper lobectomy was performed in three out of four reported cases of lung hernia post-thoracoscopic lobectomy.
  • The middle lobe herniated in these cases, suggesting an anatomical predisposition.

Implications:

  • Right upper lobectomy may represent an anatomical risk factor for intercostal lung hernia.
  • Understanding risk factors like elevated intrathoracic pressure is crucial for prevention and management.

Keywords:
Hemosputumlung herniathoracoscopic lobectomy

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