A Case of Spontaneous Transdiaphragmatic Intercostal Hernia with Contralateral Injury, and Review of the LiteratureReportar como inadecuado




A Case of Spontaneous Transdiaphragmatic Intercostal Hernia with Contralateral Injury, and Review of the Literature - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Case Reports in Surgery - Volume 2017 2017, Article ID 7416092, 4 pages - https:-doi.org-10.1155-2017-7416092

Case Report

Department of General Surgery, Riverside Methodist Hospital, Columbus, OH 43214, USA

OhioHealth Heart, Lung and Vascular Surgeons, Riverside Methodist Hospital, Columbus, OH 43214, USA

Correspondence should be addressed to Alexander A. Chapman

Received 17 November 2016; Accepted 7 February 2017; Published 23 February 2017

Academic Editor: Neil Donald Merrett

Copyright © 2017 Alexander A. Chapman and Steven B. Duff. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report discusses the diagnosis and management of a 67-year-old male presenting with a spontaneous transdiaphragmatic intercostal hernia with contralateral intercostal hernia. The patient had a history of chronic obstructive pulmonary disease COPD exacerbations requiring multiple prolonged courses of steroids. The patient was ultimately diagnosed with computed tomography CT and underwent surgical repair via thoracotomy with primary repair of the diaphragmatic defect. The patient’s postoperative course was uncomplicated. A review of the literature since the first similar case in 1977 recognizes the propensity of this injury to be found in patients with COPD and chronic steroid usage, as well as its diagnosis and management. The case reviewed is the second documented case of a concurrent abdominal wall herniation and the first one with a contralateral injury. It is important for clinicians to be aware of this pathology when evaluating patients with COPD and chronic steroid usage.





Autor: Alexander A. Chapman and Steven B. Duff

Fuente: https://www.hindawi.com/



DESCARGAR PDF




Documentos relacionados