Incarcerated transdiaphragmatic intercostal hernia preceded by Chilaiditi’s syndrome

Rompen, J C; Zeebregts, C. J.; Prevo, R.L; Klaase, Joost M.

doi:10.1007/s10029-004-0287-5

Cited by 14 publications

(11 citation statements)

References 9 publications

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“…Abdominal viscera strangulation, however, has been reported only in the presence of a concurrent transdiaphragmatic passage of hernia content. 19 Apart of the complications of the hernia itself, a surgical repair could also be indicated because of cosmetic discomfort.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

Kalles

Dasiou

Doga

et al. 2015

International Surgery

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Intercostal hernias are rare, and usually occur following injuries of the thoracic wall. The scope of this report is to present a case of a 53-year-old obese patient that developed a transdiaphragmatic intercostal hernia. The patient presented with a palpable, sizeable, reducible mass in the right lateral thoracic wall, with evident bowel sounds in the area, 6 months after a motor-vehicle accident. On computed tomography (CT), the hernia sac contained part of the liver and part of the ascending colon. A surgical repair of the defect was performed, using a prosthetic patch. The patient's postoperative course was uneventful and she remains recurrence free at 12 months after surgery. Intercostal hernias should be suspected following high-impact injuries of the thoracic wall, and CT scans will facilitate the diagnosis of intercostal hernia. We consider the surgical repair of the defect, with placement of a prosthetic mesh, as the treatment of choice to ensure a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

Kalles

Dasiou

Doga

et al. 2015

International Surgery

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“…The average age of the patients involved is 60.8 (range 42–79). Contents of the hernia sac in previous reports include small bowel [7] , large bowel [2] , [8] , [9] , [10] , and liver [11] , while our patient had herniation of the right colon. The herniation was most commonly right sided and was left sided in two cases [8] , [9] .…”

Section: Discussionmentioning

confidence: 60%

Rare case of a strangulated intercostal flank hernia following open nephrectomy: A case report and review of literature

Akinduro

Jones

Turner

et al. 2015

International Journal of Surgery Case Reports

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HighlightsUrgent abdominal examination with palpation of the region is necessary in the diagnosis of strangulated hernias but may be misleading so further studies are necessary.Serological testing of a patient with a strangulated hernia may show lactic acidosis and leukocytosis.Operative management is necessary for strangulated hernias especially in patients with altered mental status and a clinical picture showing decline.Intercostal incisional herniation following a previous surgical procedure is a rare entity which should be diagnosed and treated rapidly.This case highlights the clinical picture associated with an emergent strangulated hernia and highlights the critical steps in its management.

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“…The closest, albeit clearly different, reported cases being a left TTIH due to coughing with infarcted omentum found at elective repair [16] and a patient with Chilaiditi’s syndrome who required ileocecal resection during repair of a non-traumatic intercostal incisional hernia [22]. Conservative management of TTIH has been reported.…”

Section: Discussionmentioning

confidence: 99%

Strangulated intercostal liver herniation subsequent to blunt trauma. First report with review of the world literature

et al. 2012

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Traumatic transdiaphragmatic intercostal hernia, defined as an acquired herniation of abdominal contents through disrupted intercostal muscles, is a rarely reported entity. We present the first reported case of a traumatic transdiaphragmatic intercostal hernia complicated by strangulation of the herniated visceral contents.Following blunt trauma, a 61-year old man developed a traumatic transdiaphragmatic intercostal hernia complicated by strangulation of liver segment VI. Due to pre-existing respiratory problems and the presence of multiple other injuries (grade III kidney laceration and lung contusion) the hernia was managed non-operatively for the first 2 weeks.The strangulated liver segment eventually underwent ischemic necrosis. Six weeks later the resulting subcutaneous abscess required surgical drainage. Nine months post injury the large symptomatic intercostal hernia was treated with laparoscopic mesh repair. Twelve months after the initial trauma, a small recurrence of the hernia required laparoscopic re-fixation of the mesh.This paper outlines important steps in managing a rare post traumatic entity. Early liver reduction and hernia repair would have been ideal. The adopted conservative approach caused liver necrosis and required staged procedures to achieve a good outcome.

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Incarcerated transdiaphragmatic intercostal hernia preceded by Chilaiditi’s syndrome

Cited by 14 publications

References 9 publications

Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

Rare case of a strangulated intercostal flank hernia following open nephrectomy: A case report and review of literature

Strangulated intercostal liver herniation subsequent to blunt trauma. First report with review of the world literature

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