We report the case of a 78-year-old man presenting with pain in right hemithorax that occurred suddenly after coughing. A palpable chest wall mass, soft in consistency, was noted on physical examination, and chest X-ray and CT allowed to make diagnosis of spontaneous lung hernia.
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http://dx.doi.org/10.1701/1166.12901 | DOI Listing |
Indian J Thorac Cardiovasc Surg
November 2020
Department of Cardiothoracic Surgery, Ahalia Hospital, Abu Dhabi, United Arab Emirates.
We describe a case of vigorous cough-induced left intercostal artery rupture with partial diaphragmatic tear in a 60-year-old obese male with chronic obstructive pulmonary disease. He presented with left hemothorax, a rapidly spreading chest and abdominal wall hematoma, and progression of anemia. Computed tomography (CT) scan revealed a bleeding focus from the left 8th intercostal artery.
View Article and Find Full Text PDFBJR Case Rep
September 2020
Department of Surgery, Southland Hospital, Kew Road, 9812, Invercargill, Southland, New Zealand.
Transdiaphragmatic intercostal herniation can occur following blunt or penetrating trauma and is usually associated with rib fractures. It is uncommon and only sporadically reported in literature. We report a case of cough-induced intercostal herniation containing large bowel, on a background of sustaining a blunt chest trauma 25 years prior to presentation.
View Article and Find Full Text PDFAm J Respir Crit Care Med
December 2019
Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
BMJ Case Rep
May 2019
Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Trauma and sneeze-induced or cough-induced intercostal and diaphragm hernias are both rare phenomena, especially in combination. Management of these hernias is not well described, and there is no good evidence to guide operative management. Here we describe a rare presentation of coexisting intercostal and diaphragm hernias and surgical management with primary repair via a thoracotomy.
View Article and Find Full Text PDFSAGE Open Med Case Rep
April 2019
Acute and Continuing Care, Houston, TX, USA.
Massive hemothorax resulting from cough-induced rib fracture is a condition in which blood accumulates in the chest, compromising the lungs and mediastinal structures. The most common cause of massive hemothorax is acute pro-traumatic injury. We present a case of a 47-year-old gentleman with morbid obesity and psoriasis, who was admitted to the emergency department due to shortness of breath that has been increased progressively after coughing for a period of 2 weeks.
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