Sloth-Nielsen J, Jurik A G
Department of Cardio-Thoracic Surgery, University Hospital, Aarhus, Denmark.
Eur J Cardiothorac Surg. 1989;3(6):562-4. doi: 10.1016/1010-7940(89)90120-6.
A case of acute intercostal pulmonary herniation due to vigorous coughing secondary to chronic bronchitis is reported in a 70-year-old male. Protruding pleura-covered lung tissue was found bulging through an intercostal space defect between the left midaxillary line and the infrasternal costochondral arch. A hernial sac consisting of parietal pleura and atrophic intercostal muscle confined a "sliding pouch" for two pulmonary segments of which one presented a demarcation zone of temporary incarceration interpreted as an entrapment of lung tissue between two ribs. A fracture gap was discovered affecting the anterior synostosis between ribs 7 and 8. Treatment was accomplished by anterior fixation of the ribs and by the basic principles of hernia repair between adjacent ribs. A case report and a brief survey of aetiological and anatomical classification is presented.
报告了一例70岁男性因慢性支气管炎剧烈咳嗽导致的急性肋间肺疝。发现覆盖胸膜的肺组织通过左腋中线与胸骨下肋软骨弓之间的肋间间隙缺损膨出。由壁层胸膜和萎缩的肋间肌组成的疝囊包绕着两个肺段的“滑动袋”，其中一个肺段呈现出临时嵌顿的分界区，被解释为肺组织被两根肋骨夹住。发现第7和第8肋骨之间的前联合处有骨折间隙。治疗通过肋骨前路固定以及相邻肋骨间疝修补的基本原则完成。本文还给出了病例报告以及病因和解剖分类的简要综述。
