Princess Royal Hospital, Telford, UK.
Ann R Coll Surg Engl. 2021 Sep;103(8):e249-e251. doi: 10.1308/rcsann.2020.7106.
This case report discusses an unusual presentation of a voluntarily produced neck mass, caused by the rare case of lung herniation. Lung herniation is associated with increased intrathoracic pressure that can be caused by chronic chough, straining and continuous positive airway pressure ventilation. An association with Ehlers-Danlos syndrome 1 also exists. We present a case of lung herniation that was multifactorial in nature and was identified at a head and neck clinic. The female patient presented with a voluntarily expandable anterior neck mass on Valsalva manoeuvre. Computed tomography imaging with and without Valsalva manoeuvre demonstrated bilateral anterior lung herniation and findings of spinal spondylosis.
本病例报告讨论了一种不常见的自发性颈部肿块表现，由罕见的肺疝引起。肺疝与胸腔内压力增加有关，可由慢性咳嗽、用力和持续气道正压通气引起。也与 1 型埃勒斯-当洛斯综合征有关。我们报告了一例多因素性质的肺疝，该病例在头颈部诊所被发现。该女性患者在瓦尔萨尔瓦动作时出现可自主扩张的前颈部肿块。瓦尔萨尔瓦动作前后的计算机断层扫描成像显示双侧前肺疝和脊柱骨关节炎的发现。
