Search Journal-type in search term and press enter
Social Media-Follow Southwest Journal of Pulmonary and Critical Care on Facebook and Twitter
« October 2014 Imaging Case of the Month | Main | Medical Image of the Week: Pneumomediastinum »
Wednesday
Oct012014

Medical Image of the Week: Pulmonary Herniation

Figure 1. Thoracic CT scan.

 

  Figure 2. Saggital view of thoracic CT scan.

 

A 49-year-old obese gentleman with a known history of chronic obstructive pulmonary disease, diabetes mellitus and GERD presented with complaints of a popping sensation in his left chest with coughing and deep breathing, associated with pain at the same site. Physical examination showed small bulge at the level of the herniation that was most obvious with coughing. CT scan of chest done 2 months ago showed 2. 5 cm pulmonary hernia identified at the left 7-8 costal interspace (Figures 1 and 2). This was thought to have resulted from an open lung biopsy of his left lung done 4 years before presentation to evaluate for acute respiratory failure or chest tube insertion at same site 3 years prior to presentation for treatment of a pneumothorax. Surgical repair was done with round Bard Kugel hernia patch. His symptoms resolved after the procedure.

 

Ramasubramanian Baalachandran MD, Naser Mahmou  MD, and Laura Meinke MD

Department of Medicine

University of Arizona – School of Medicine

Tucson, Arizona.

Reference

  1. Fackeldey V, Junge K, Hinck D, Franke A, Willis S, Becker HP, Schumpelick V. Repair of intercostal pulmonary herniation. Hernia. 2003;7(4):215-7. [CrossRef] [PubMed]

Reference as: Baalachandran R, Mahmou N, Meinke L. Medical image of the week: pulmonary herniation. Southwest J Pulm Crit Care. 2014;9(4):197-8. doi: http://dx.doi.org/10.13175/swjpcc122-14 PDF

Reader Comments

There are no comments for this journal entry. To create a new comment, use the form below.

PostPost a New Comment

Enter your information below to add a new comment.

My response is on my own website »
Author Email (optional):
Author URL (optional):
Post:
 
Some HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <code> <em> <i> <strike> <strong>