Chest
Spontaneous Lung Hernia
Section snippets
CASE REPORT
A 58-year-old foundry man felt sudden sharp excruciating pain in the right side of the chest following clockwise rotation of his body. He subsequently developed right upper abdominal pain and coughing spells.
Physical examination revealed a very obese, 250 lb white man with a blood pressure of 120/80 mm Hg and pulse rate of 100/min. Ecchymosis and erythema were noted in the right lower chest and upper abdomen, anteriorly. A crepitant mass 8 × 6 cm, was palpable at the right seventh intercostal
COMMENT
The development of the spontaneous lung hernia involves two factors: firstly, a weakness in the thoracic wall or boundaries of the chest cavity usually occurs in the chest wall anteriorly from the costochondral junction to the sternum because of the absence of the external intercostal muscle, posteriorly from the costal angle to the vertebrae because of the absence of the internal intercostal muscle and superiorly in the cervical area from deficiency of Sibson's fascia, parietal pleura or neck
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Cited by (25)
A 6-Month-Old With Left Chest Protrusion
2021, Journal of Emergency MedicineCitation Excerpt :The patient was discharged for follow-up in a surgery clinic with the hope of spontaneous resolution. A lung hernia is an uncommon protrusion of the pulmonary tissue and pleural membrane beyond the confines of the thoracic cavity through an abnormal opening in the chest wall, diaphragm, or mediastinum (1,2). They can be congenital or acquired.
Lung herniation after positive pressure ventilation
2017, Respiratory Medicine Case ReportsCitation Excerpt :Herniation of the lung is an uncommon entity which has only been reported mainly as case reports around the world. It is defined as a protrusion of lung tissue beyond the confines of the thoracic cavity through an abnormal opening in the chest wall, diaphragm or mediastinum lined by pleura [1]. Lung herniation was first described in 1845 by Morel-Lavallée who studied 32 cases and classified them based on anatomy and etiology [2].
Man With a Bump on the Chest
2016, Annals of Emergency MedicineCitation Excerpt :The defect was repaired surgically by approximation of the eighth and ninth ribs with wires. Lung herniation is an uncommon entity and can be a result of a traumatic, spontaneous, or pathologic cause.1-3 Traumatic hernias may appear immediately after injury or be delayed for years.4
Lung hernia provoked by a cough fit
2015, Revue de Pneumologie CliniqueBilateral cervical lung hernia with T1 nerve compression
2006, Annals of Thoracic SurgeryCitation Excerpt :Morel-Lavalle classified lung hernia according to location (cervical, thoracic, and diaphragmatic) and etiology in 1845 [2]. The majority (65% to 83%) of the lung hernias occur through the chest wall [3, 4]. Cervical hernias occur through a defect in Sibson’s fascia, usually anteromedially between the anterior scalene and sternocleidomastoid muscles [5].
Spontaneous anterior thoracic lung hernias
2000, Journal of Thoracic and Cardiovascular Surgery