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Spontaneous pulmonary hernia secondary to intercostal muscle tear
Ist Teil von
BMJ case reports, 2019-10, Vol.12 (10), p.e231706
Ort / Verlag
England: BMJ Publishing Group Ltd
Erscheinungsjahr
2019
Quelle
MEDLINE
Beschreibungen/Notizen
The role for surgical repair is controversial, but indications for surgical intervention include increasing size, refractory pain or incarceration.3 However, the majority of cases follow a benign course and can be managed conservatively. A 65-year-old man with a history of asthma presented with a 1-week history of cough productive of purulent sputum, increasing dyspnoea and wheeze. CT of thorax with contrast demonstrating widening posterolaterally of the intercostal space between the left eighth and ninth ribs at the costophrenic angle and herniation of the pleura and lung between the ribs on axial views (A,B, asterisk) and into the chest wall, deep to the oblique muscles, serratus anterior and latissimus dorsi on coronal views (C,D, asterisk).