Traumatic Lung Herniation following Skateboard Fall

Davare, Dafney L; Kiffin, Chauniqua; Sanchez, Rafael; Lee, Seong K.; Carrillo, Eddy H.; Rosenthal, Andrew

doi:10.1155/2016/9473906

Cited by 7 publications

(9 citation statements)

References 12 publications

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“…The potential complications of lung herniation include lung incarceration, strangulation causing hemoptysis, lung necrosis, pneumothorax, and pneumomediastinum. It is important to note that smaller defects need to be closed earlier than the more substantial defects, as the risk of incarceration is higher [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Lung Herniation Leading to Extensive Subcutaneous Emphysema, Pneumothorax, Pneumomediastinum, and Pneumopericardium

Hamid

Ghani

Ullah

et al. 2018

Cureus

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Spontaneous lung herniation is a rare phenomenon in which the lung parenchyma along with the pleural membranes protrudes outside their usual boundaries and can lead to a wide variety of complications. We are reporting a case of a middle-aged male who presented with chronic obstructive pulmonary disease (COPD) exacerbation with severe bouts of cough. Initial computed tomography (CT) chest was unrevealing, but two days later, he developed spontaneous lung herniation, which was initially managed conservatively, but later it progressed to pneumothorax, pneumomediastinum, with striking CT scan images showing extensive subcutaneous emphysema. Blowhole incisions were done on the anterior chest wall which led to ultimate recovery.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Lung Herniation Leading to Extensive Subcutaneous Emphysema, Pneumothorax, Pneumomediastinum, and Pneumopericardium

Hamid

Ghani

Ullah

et al. 2018

Cureus

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“…Thoracic hernias are rare conditions characterized by the protrusion of lung parenchyma outside the thoracic cage [ 1 ]. Approximately 66% of thoracic hernias push through a weak area in the chest wall, usually acquired after severe thoracic trauma; the rest of the hernias involve the neck and, very rarely, the diaphragm [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracic lung herniation is a rare condition. It is usually acquired after severe trauma, where part of the lung's parenchyma and pleura protrude beyond the thoracic wall, neck or diaphragm [ 1 ]. Management remains controversial and the incidence is not well known [ [1] , [2] , [3] ].…”

Section: Introductionmentioning

confidence: 99%

Thoracic herniation secondary to pleural effusion

Romero

Varon

Surani

et al. 2018

Respiratory Medicine Case Reports

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We present the case of a 61-year-old gentleman with history of stage IV esophageal cancer presented to the emergency department with the complaints of dyspnea on exertion and cough of 1-month duration. Patient had undergone resection of distal esophagus 4 years' prior this admission. Chest radiograph revealed a large right pleural effusion and, a computed tomography scan of the chest revealed a portion of the effusion herniating between the ribs in the right hemithorax. Thoracentesis was performed with improvement in patient's dyspnea and overall condition. Patient was doing better and asymptomatic on his 3-month follow-up. Inadequate closure after surgical procedure can lead to presentation of a lung herniation. This can appear immediately after or many years later. Video-assisted thoracoscopy has been attributed to post-operative presentation of thoracic hernias when compared to more extensive operative procedures.

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“…Travma sonrası akciğer herniasyonu tedavisinde ise genellikle cerrahi tedavi önerilmektedir. Ancak yakın gözlem ile konservatif tedavi önerenlerde vardır (10,11) . Cerrahi tedavide ise önce herniye olan akciğer dokusunun redüksiyonu, kosta fraktürü nonstabil ise bitişik kostaların perikostal fiksasyonu ile göğüs duvarı stabilizasyonu, ardından defektin büyüklüğüne göre gerekiyorsa otolog doku ya da sentetik mesh ile defektin kapatılması önerilmektedir (10,11) .…”

Section: Discussionunclassified

“…Ancak yakın gözlem ile konservatif tedavi önerenlerde vardır (10,11) . Cerrahi tedavide ise önce herniye olan akciğer dokusunun redüksiyonu, kosta fraktürü nonstabil ise bitişik kostaların perikostal fiksasyonu ile göğüs duvarı stabilizasyonu, ardından defektin büyüklüğüne göre gerekiyorsa otolog doku ya da sentetik mesh ile defektin kapatılması önerilmektedir (10,11) . Hastamızın BT incelemesinde deplase kosta fraktürü olması, deplase kemik parçasının akciğer dokusuna saplanmış olması ve bir miktar pnömotoraksın eşlik etmesi nedeniyle cerrahi tedavi kararı alındı.…”

Section: Discussionunclassified