Mhamdi Samira, Aouini Ines, Daboussi Salsabil, Mahfoudhi Houaida, Lassoued Mehdi Ben, Kallel Manel, Moetamri Zied, Aichaouia Chiraz, Mejri Islem, Khadhraoui Mohsen, Cheikh Rzaieg
Pulmonology Department, Military Hospital, Tunis, Tunisia.
Cardiology Department, Military Hospital, Tunis, Tunisia.
Pan Afr Med J. 2020 May 27;36:39. doi: 10.11604/pamj.2020.36.39.20054. eCollection 2020.
Intercostal lung herniation is defined as a protrusion of the lung parenchyma through a defect in the intercostal muscles between adjacent ribs. The authors report a case of intercostal pulmonary hernia in a 45-year-old male patient, with smoking habit (30 packs-year), presented to the emergency department with dyspnea. He had the history of pulmonary emphysema complicated with a total right pneumothorax in 2015 treated by mini-thoracotomy with bullectomy and pleural abrasion. In 2019, he was admitted to hospital for left chest pain. The computed tomography (CT) scan of the chest revealed a bilateral emphysema with intercostal lung hernia through the fourth intercostal space the patient underwent, a left thoracotomy with repair of the intercostal muscle defect. He was discharged from hospital free of complications.
肋间肺疝被定义为肺实质通过相邻肋骨间肋间肌的缺损处突出。作者报告了一例45岁有吸烟习惯（30包年）的男性肋间肺疝患者，因呼吸困难就诊于急诊科。他有肺气肿病史，2015年并发全右侧气胸，接受了胸腔镜下肺大疱切除术和胸膜摩擦术治疗。2019年，他因左侧胸痛入院。胸部计算机断层扫描（CT）显示双侧肺气肿，伴有通过第四肋间间隙的肋间肺疝，患者接受了左侧开胸手术并修复肋间肌缺损。他出院时无并发症。
