Hamid Mohsin, Ghani Ali R, Ullah Waqas, Sarwar Usman, Patel Rajesh
Internal Medicine, Abington Jefferson Health, Abington, USA.
Pulmonary and Critical Care, Abington Jefferson Health, Abington, USA.
Cureus. 2018 Jun 22;10(6):e2861. doi: 10.7759/cureus.2861.
Spontaneous lung herniation is a rare phenomenon in which the lung parenchyma along with the pleural membranes protrudes outside their usual boundaries and can lead to a wide variety of complications. We are reporting a case of a middle-aged male who presented with chronic obstructive pulmonary disease (COPD) exacerbation with severe bouts of cough. Initial computed tomography (CT) chest was unrevealing, but two days later, he developed spontaneous lung herniation, which was initially managed conservatively, but later it progressed to pneumothorax, pneumomediastinum, with striking CT scan images showing extensive subcutaneous emphysema. Blowhole incisions were done on the anterior chest wall which led to ultimate recovery.
自发性肺疝是一种罕见的现象，即肺实质连同胸膜膜突出到其正常边界之外，并可导致多种并发症。我们报告一例中年男性病例，该患者因慢性阻塞性肺疾病（COPD）急性加重伴严重咳嗽发作前来就诊。最初的胸部计算机断层扫描（CT）未发现异常，但两天后，他出现了自发性肺疝，起初采取保守治疗，但后来发展为气胸、纵隔气肿，CT扫描图像显示广泛的皮下气肿。在前胸壁做了气孔切口，最终患者康复。
