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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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Postoperative inverted intercostal hernia incidentally detected by chest computed tomography in a patient with

Murilo de Sá Barrêto Callou Peixoto1, Bruno Lima Moreira1, Pablo Rydz Pinheiro Santana1

  • 1Hospital Beneficência Portuguesa de São Paulo, 769 Maestro Cardim St. Bela Vista, São Paulo, SP, 01323-001, Brazil.

Radiology Case Reports
|July 18, 2022
PubMed

Insights

This case report highlights an uncommon inverted intercostal hernia containing soft tissue, diagnosed via CT scan in a COVID-19 patient. Awareness of this rare condition is crucial for radiologists to prevent misdiagnosis.

Area of Science:

  • Radiology
  • Thoracic Surgery
  • Infectious Disease

Background:

  • Inverted intercostal hernias are rare, particularly those involving soft tissue post-surgery.
  • Surgical history can predispose patients to unusual herniations.

Observation:

  • A 48-year-old female presented with respiratory symptoms and tested positive for SARS-CoV-2.
  • She had a prior history of left lower lobectomy, bronchoplasty, and mediastinal lymphadenectomy for carcinoid tumor.

Findings:

  • Chest multidetector computed tomography (MDCT) revealed an inverted intercostal hernia containing soft tissue.
  • The hernia was identified in the context of a postoperative patient with COVID-19.

Implications:

  • Radiologists must recognize the imaging features of soft-tissue inverted intercostal hernias.
  • Accurate diagnosis is essential to avoid misinterpreting the hernia as other thoracic pathologies.
  • This case underscores the importance of considering rare postoperative complications, especially in immunocompromised or acutely ill patients.

Keywords:
HerniaMultidetector computed tomographyThoracic surgery

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