Open AccessClinicoradiological diagnosis: Cough-induced transdiaphragmatic intercostal herniation
Author(s) -
Prema Mohandas,
Ahmed O.A. Krim,
Jerry Glenn
Publication year - 2020
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20190061
Subject(s) - medicine , diaphragm (acoustics) , surgery , hernia , blunt , presentation (obstetrics) , blunt trauma , intercostal muscle , penetrating trauma , anesthesia , respiratory system , anatomy , physics , acoustics , loudspeaker
Transdiaphragmatic intercostal herniation can occur following blunt or penetrating trauma and is usually associated with rib fractures. It is uncommon and only sporadically reported in literature. We report a case of cough-induced intercostal herniation containing large bowel, on a background of sustaining a blunt chest trauma 25 years prior to presentation. The patient was treated by reducing the hernia followed by surgical repair of the diaphragm and intercostal muscles defect. He was discharged without further complications and remained well at follow-up.