Mason Karen, Riordan Richard D
Diagnostic Imaging Department, Gloucestershire Royal Hospital, Great Western Rd., Gloucester GL1 3NN, UK.
Ear Nose Throat J. 2013 Dec;92(12):561-2.
Lung herniation is a rare condition that can be classified on the basis of location and etiology. We report an unusual case of right apical lung herniation presenting with dysphagia. Computed tomography of the neck demonstrated an air-containing structure in the root of the right side of the neck, related to but separate from the anteromedial aspect of the right lung apex. The diagnosis of an apical lung hernia was confirmed using high-resolution CT reconstructions. This case highlights that, although uncommon, apical lung hernias should always be considered when investigating abnormalities of swallowing. Identification of an apical lung hernia on plain chest radiographs avoids further unnecessary investigations and surgical intervention. Knowledge of their presentation may avoid complications that could arise from neck interventions such as subclavian central catheter insertion.
肺疝是一种罕见的疾病，可根据位置和病因进行分类。我们报告了一例罕见的右肺尖部肺疝伴吞咽困难的病例。颈部计算机断层扫描显示，在右侧颈部根部有一个含气结构，与右肺尖的前内侧部分相关但分离。通过高分辨率CT重建确诊为肺尖部肺疝。该病例强调，虽然肺尖部肺疝不常见，但在调查吞咽异常时应始终予以考虑。在胸部平片上识别肺尖部肺疝可避免进一步不必要的检查和手术干预。了解其表现可避免因颈部干预（如锁骨下中心静脉导管插入术）可能引发的并发症。
