Spontaneous Pulmonary Hernia: Case Report and Literature Review

Zinni MA, España MI, Carrabs A and Bustos ME

Department of Thorax Surgery, Private University Hospital of Córdoba, Argentina

^*Correspondance to: Marisol A Zinni 

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Abstract:

Pulmonary hernia is defined by the protrusion of the lung parenchyma through a defect in the chest wall. It is classified according to etiology (congenital or acquired) and anatomical location (cervical, thoracic or diaphragmatic). It may be asymptomatic or present with acute chest pain after coughing or sneezing or even hemoptysis. The diagnosis is clinical, but a tomography is necessary to confirm and characterize it. There is debate between conservative and surgical management. There is no standard surgical technique to treat this type of protrusion. A 78-year-old male patient, with no history of smoking, trauma or known respiratory disease, with a personal history of obesity. He consulted due to a bulging in the right thoracic region after an episode of worsening chronic cough. Upon inspection, intercostal protrusion was observed during respiratory movements and Valsalva maneuvers. A chest CT scan was requested, which showed a posterior lateral pulmonary hernia between the 8th and 9th right rib measuring 22 mm. Repair of the hernia defect was performed through right thoracotomy. Lung hernias, although rare, must be taken into account. Lung hernia due to cough is related to a combination of 2 processes: Weakness of the boundaries of the thoracic cavity and increased intrathoracic pressure. Clinical and radiological findings confirm the diagnosis. The final treatment must be surgical.

Keywords:

Lung hernia; Cough; Surgical intervention

Cite the Article:

Zinni MA, España MI, Carrabs A, Bustos ME. Spontaneous Pulmonary Hernia: Case Report and Literature Review. World J Surg Surgical Res. 2024; 7: 1530..