Journal article
Acquired intercostal lung herniation: conservative management may lead to continuation of symptoms and other adverse consequence
General thoracic and cardiovascular surgery, Vol.68(4), pp.403-407
04/01/2020
DOI: 10.1007/s11748-019-01156-w
PMID: 31187412
Abstract
Background It is quite rare for lung to herniate between a patient's ribs, most often seen after surgery; it is, however, also rarely seen in other situations, notably during coughing fits situations such as coughing spells. There is minor controversy in the literature regarding management, namely, a question of whether to manage conservatively or with surgical correction, since this is such a rare entity physicians, may face difficulty in knowing how to proceed. Here, we provide evidence supporting acquired lung herniation management to be repaired surgically, and early, while at the same time medically optimizing the patient's risk factors for further herniation events or intercostal muscle tears. Presentation We report a 79-year-old man who suffered a right-sided lung herniation as a result of vigorous coughing, he initially was managed conservatively, and symptoms worsened but then underwent surgical repair which was associated with a suitable outcome. Conclusion Lung herniation will may resolve on its own and prompt correction should be considered instead of conservative management. We recommend early surgical repair for all intercostal lung herniations, even if they are asymptomatic, to prevent complications or extension of the defect into the abdominal wall. Surgery may offer the best results, with low morbidity and no mortality reported to date.
Details
- Title: Subtitle
- Acquired intercostal lung herniation: conservative management may lead to continuation of symptoms and other adverse consequence
- Creators
- Brent Berry - University of MinnesotaDana Ghazaleh - University of MinnesotaReem Matar - Mayo Clinic in ArizonaAzizullah Beran - Mayo Clinic in ArizonaJames Risser - HealthPartnersBryan J. Warren - HealthPartnersMalik Ghannam - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- General thoracic and cardiovascular surgery, Vol.68(4), pp.403-407
- Publisher
- Springer Nature
- DOI
- 10.1007/s11748-019-01156-w
- PMID
- 31187412
- ISSN
- 1863-6705
- eISSN
- 1863-6713
- Number of pages
- 5
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Neurology
- Record Identifier
- 9984585318102771
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