Emergency ultrasound in the diagnosis of traumatic extrathoracic lung herniation

Marlow, Stacey E.; Campbell, Tabitha; Davis, Ashley H.; Patel, Hershel R.

doi:10.1016/j.ajem.2012.09.030

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…The authors describe the sonographic characteristics of the pulmonary hernia as a "pleural gap" or abrupt stoppage of the pleural line at the rib space where the hernia occurs and hypoechoic tissue protruding through the affected rib space, presumably pulmonary parenchyma. 11 In our case of spontaneous postoperative pulmonary herniation, the sonographic characteristics differed in a couple of ways. The pulmonary parenchyma in our case was aerated resulting in a hyperechoic appearance casting artifact that obscured the underlying tissues, resembling subcutaneous emphysema.…”

Section: Discussionmentioning

confidence: 78%

“…Marlow and colleagues previously described a case of blunt traumatic pulmonary herniation detected during the extended focused assessment with ultrasound for trauma (eFAST) examination, to date this is the only case report describing the sonographic features of pulmonary hernia. The authors describe the sonographic characteristics of the pulmonary hernia as a “pleural gap” or abrupt stoppage of the pleural line at the rib space where the hernia occurs and hypoechoic tissue protruding through the affected rib space, presumably pulmonary parenchyma 11 . In our case of spontaneous postoperative pulmonary herniation, the sonographic characteristics differed in a couple of ways.…”

Section: Discussionmentioning

confidence: 89%

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B‐lines beyond the thoracic cavity ‐ ultrasound identification of intercostal pulmonary hernia

Gordon

Karfunkle

Smith

et al. 2021

J of Clinical Ultrasound

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Intercostal pulmonary hernia is a rare condition that may present to the emergency department spontaneously, following blunt trauma or as a complication of thoracic surgery. With the evolution of minimally invasive thoracic surgery pulmonary hernia may become more common. In this case of postoperative chest pain, incisional swelling, and shortness of breath, we present the ultrasound characteristics of a postoperative intercostal pulmonary hernia and its resemblance to subcutaneous emphysema.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 89%

B‐lines beyond the thoracic cavity ‐ ultrasound identification of intercostal pulmonary hernia

Gordon

Karfunkle

Smith

et al. 2021

J of Clinical Ultrasound

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“…Since it may go unnoticed in routine chest radiography, a planum chest radiography performed during a Valsalva maneuver may be the first indication of a diagnosis of lung herniation. Transthoracic USG, which is a viable diagnostic procedure for thoracic wall diseases such as pneumothorax, pulmonary consolidation and atelectasis, may provide useful information for a differential diagnosis (7). A CT scan can be useful in the acquisition of valuable information regarding the size of the intercostal opening of the thoracic wall and the remaining thorax structures (6).…”

Section: Discussionmentioning

confidence: 99%

Lateral Thoracic Lung Herniation: A Rare Condition

Akar¹,

Haberal²,

Dikiş³

2019

Respir Case Rep

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Lung herniation is described as the protrusion of lung tissue and pleura out of the thoracic cavity through an abnormal gap in the chest wall. We present a case with a rare lateral lung herniation. The patient was taken for urgent surgery and an anterolateral thoracotomy was carried out. Pursuant to rib and lung parenchyma repair, the herniation defect was closed without a prosthetic graft. The patient was discharged on the postoperative fifth day with full recovery. Although there is a lack of consensus on the timing of surgery, we are of the opinion that in blunt thorax trauma-induced symptomatic lung hernias, operating on the patient is appropriate as soon as a diagnosis is established should be advised.

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“…In trauma, patients are evaluated with the eFAST or extended focus assessment with sonography in trauma. This rapid diagnostic test involves assessment of the pleural cavities to identify pneumothoraces [15]. In one reported case the eFAST assisted physicians in identifying a trauma-related LH [15].…”

Section: Discussionmentioning

confidence: 99%

Traumatic Lung Herniation following Skateboard Fall

Davare

Kiffin

Sanchez

et al. 2016

Case Reports in Medicine

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Lung herniation (LH) is a rare clinical entity involving the protrusion of lung outside the thoracic cage. It has a variety of etiologies and clinical presentations, making diagnosis difficult. We present a case of a 20-year-old male who reported pleuritic pain after falling from a skateboard. Evaluation through computed tomography (CT) scanning of the chest revealed an anterior lung hernia associated with rib fractures. This case emphasizes the need for clinicians to include lung herniation in the differential diagnosis of patients with trauma and inexplicable or persistent pulmonary issues.

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Emergency ultrasound in the diagnosis of traumatic extrathoracic lung herniation

Cited by 12 publications

References 7 publications

B‐lines beyond the thoracic cavity ‐ ultrasound identification of intercostal pulmonary hernia

B‐lines beyond the thoracic cavity ‐ ultrasound identification of intercostal pulmonary hernia

Lateral Thoracic Lung Herniation: A Rare Condition

Traumatic Lung Herniation following Skateboard Fall

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