Clinicoradiological diagnosis of cough-induced intercostal hernia.

Andrew Dobradin, Jessica Bello
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引用次数: 5

Abstract

Cough-induced intercostal hernias without any type of external trauma are very uncommon. There have been less than 10 cases documented in literature. This clinical report describes a 66-year-old male who developed an intercostal hernia induced by a severe cough due to bilateral pneumonia and a subsequent rib fracture. It took almost a full year to diagnose this patient's chest wall mass. Only after taking careful history and reviewing all the images, the diagnosis of intercostal hernia was made. He was referred to a cardiothoracic surgeon for treatment. Intercostal hernias can be caused by the sheer exertion of coughing without any prior history of trauma to the chest wall or abdomen. Early diagnosis is difficult and had to be based on clinical signs and symptoms. The imaging studies might help to establish diagnosis, but cannot replace a diligent examination and clinical interview. The treatment of the chest wall defect is case dependent. Surgical repair reinforcement of the intercostal muscles might be required with prosthetic nonabsorbable (polypropylene) mesh.

Abstract Image

Abstract Image

咳嗽性肋间疝的临床放射学诊断。
无任何外伤的咳嗽所致肋间疝是非常罕见的。文献记载的病例不足10例。这个临床报告描述了一个66岁的男性谁发展肋间疝由严重咳嗽引起的双侧肺炎和随后的肋骨骨折。诊断这个病人的胸壁肿块花了将近整整一年的时间。在仔细查阅病史和所有影像后,诊断为肋间疝。他被转介给心胸外科医生治疗。肋间疝可由单纯的咳嗽引起,没有胸壁或腹部外伤史。早期诊断很困难,必须根据临床体征和症状进行诊断。影像学检查可能有助于确定诊断,但不能取代勤奋的检查和临床访谈。胸壁缺损的治疗视情况而定。外科修复加强肋间肌可能需要假体不可吸收(聚丙烯)网。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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