Tapsoba Toussain Wendlamita, Grapin-Dagorno Christine, Bonnard Arnaud, El-Ghoneimi Alaa
University Pediatric Hospital Charles de Gaulle, Ouagadougou, Burkina Faso.
Robert DEBRE Hospital, Paris, France.
J Med Case Rep. 2019 Jul 18;13(1):232. doi: 10.1186/s13256-019-2142-4.
Intercostal lung herniation is a rare condition that may be congenital (20%) or acquired (80%). The isolated congenital form is exceptional, with one case reported in the literature.
We report a case of a 10-year-old French boy of Algeria origin, born with intermittent swelling of his right hemithorax. The swelling and pain gradually increased with age. A clinical examination revealed a localized swelling of his right hemithorax at the level of the midclavicular line and the fifth intercostal space. The swelling increased in size during respiratory movements and enlarged with Valsalva maneuvers. The intercostal lung hernia was treated by thoracoscopy.
This is the second case of isolated congenital intercostal pulmonary hernia reported in the French and English literature. It is the first to be treated by thoracoscopy. Based on this case we performed a review of the diagnosis and therapeutic aspect of pulmonary hernias.
肋间肺疝是一种罕见病症，可能为先天性（20%）或后天性（80%）。孤立性先天性形式极为罕见，文献中仅报道过一例。
我们报告一例10岁来自阿尔及利亚的法国男孩，出生时即有右侧半胸间歇性肿胀。肿胀和疼痛随年龄逐渐加重。临床检查发现右侧半胸在锁骨中线和第五肋间水平有局限性肿胀。肿胀在呼吸运动时增大，瓦尔萨尔瓦动作时也会增大。该肋间肺疝通过胸腔镜进行了治疗。
这是法语和英语文献中报道的第二例孤立性先天性肋间肺疝病例。这是首例通过胸腔镜治疗的病例。基于此病例，我们对肺疝的诊断和治疗方面进行了综述。
