Posttraumatic transdiaphragmatic intercostal hernia: report of a case and review of the literature

International Surgery
Vasileios KallesNikolaos Anastasiou

Abstract

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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Citations

Feb 17, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael R GoosemanJohn G Edwards
Mar 30, 2019·Journal of Medical Imaging and Radiation Oncology·Giuseppe CiceroSilvio Mazziotti
Jun 30, 2019·American Journal of Respiratory and Critical Care Medicine·Ala-Eddin S SagarVickie R Shannon
May 13, 2019·BMJ Case Reports·Jesse K KelleyGary A Vercruysee
Dec 19, 2020·The American Surgeon·Anna G MeaderJaswin S Sawhney
Apr 20, 2021·Gastroenterología y hepatología·Lara Blanco TerésElena Martín-Pérez

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