Intercostal lung herniation is defined as a protrusion of the lung parenchyma through a defect in the intercostal muscles between adjacent ribs. The authors report a case of intercostal pulmonary hernia in a 45-year-old male patient, with smoking habit (30 packs-year), presented to the emergency department with dyspnea. He had the history of pulmonary emphysema complicated with a total right pneumothorax in 2015 treated by mini-thoracotomy with bullectomy and pleural abrasion. In 2019, he was admitted to hospital for left chest pain. The computed tomography (CT) scan of the chest revealed a bilateral emphysema with intercostal lung hernia through the fourth intercostal space the patient underwent, a left thoracotomy with repair of the intercostal muscle defect. He was discharged from hospital free of complications.

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55.6% of the cases and 86.3% had never received teleworking training. Psychosocial repercussions were noticed among 92.2%. An increase in working time was reported by 47.1%, significantly more reported by those in managerial positions (44.7%). During breaks, 48% were spending time watching TV or on social networks, which is an activity significantly correlated with sadness, chronic anxiety and sleep disorders. For benefits perceived, 85% appreciated the absence of constraints related to workplace path and 61.8% the autonomy. Telework was suitable for work according to 90.8%. Desire to continue teleworkins was expressed in 89.9%. Conclusions The teleworking was appreciated but it had psychosocial negative repercussions. A new working mode is spreading and showing possibility to work in a different manner with similar or better results. The occupational physician will manage emergent health risk factors.

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