Thoracolaparoscopic management of a traumatic subacute transdiaphragmatic intercostal hernia. Second case reported

Trauma Case Reports
Eduardo Smith-Singares

Abstract

Transdiaphragmatic intercostal hernias are extremely rare. Their physiopathology is different from traumatic diaphragmatic ruptures, and their clinical presentation and management strategies place them in a different category than abdominal intercostal hernias. A 56 yo female presented to the outpatient trauma clinic with a symptomatic, subacute left sided transdiaphragmatic intercostal hernia secondary to a motor vehicle crash almost 3 months prior to presentation. The injury was managed with a combined thoracoscopic and laparoscopic approach, only the second time ever this has been reported. She was discharged on POD#3, and after 6 months of follow up continues to do well, without clinical evidence of hernia recurrence. Minimally invasive management of this rare pathology is possible and should be encouraged.

References

May 1, 1986·The Annals of Thoracic Surgery·F H ColeC V Jones
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Mar 19, 2015·International Surgery·Vasileios KallesNikolaos Anastasiou
Apr 30, 2016·The Journal of Surgical Research·Neeraja NagarajanAdil H Haider
Jul 28, 2016·JAMA Surgery·Karan R Chhabra, Justin B Dimick
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May 7, 2019·Trauma Surgery & Acute Care Open·Andrew BernardKimberly A Davis
Sep 12, 2019·Annals of the Royal College of Surgeons of England·M AladailehK Redmond

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