Hernie pulmonaire intercostale secondaire à un effort de toux

Incidental discovery of intercostal pulmonary hernia: A case report

“…Pulmonary hernias are a rare entity. It is estimated that just over 300 cases have been reported in the literature [1 , 5] and are defined by the protrusion of lung parenchyma covered with its pleural sheets beyond the limits of the thoracic cavity through a defect in the chest wall, diaphragm, or mediastinum, without any skin invasion. By abuse, so-called "covered eviscerations" are often included [1 , 6] .…”

“…It is estimated that just over 300 cases have been reported in the literature [1 , 5] and are defined by the protrusion of lung parenchyma covered with its pleural sheets beyond the limits of the thoracic cavity through a defect in the chest wall, diaphragm, or mediastinum, without any skin invasion. By abuse, so-called "covered eviscerations" are often included [1 , 6] . Pulmonary hernias were first described in 1499 by Roland [2] and were classified in 1845 by Morel-Lavallée, who received 32 cases and created a classification that remains the simplest and most relevant according to their location and mechanism [3] .…”

“…Acquired hernias can be divided into traumatic, consecutive, pathologic, or spontaneous. The "consecutive" hernia is a hernia of delayed onset after trauma, secondarily disappeared to be included in the post-traumatic category, along with postoperative hernias [1 , 3] . The mechanism of acquired pulmonary hernias involves intercostal muscle weakness associated with conditions that increase intrathoracic pressure such as coughing and heavy lifting.…”

“…Lung hernias are rare, defined as a protrusion of the lung parenchyma through a defect in the intercostal muscles between adjacent ribs and are to be differentiated from eviscerations which correspond to the externalization of lung parenchyma through a wound [1] . The first case of pulmonary hernia was described in 1499 by Roland and corresponded to a supra-clavicular hernia [2] .…”

“…The first case of pulmonary hernia was described in 1499 by Roland and corresponded to a supra-clavicular hernia [2] . And since then, only a little more than 300 cases have been reported in the literature [1] . Depending on the etiology, Morel-Lavallée classified pulmonary hernias as congenital and acquired.…”