Serpell J W, Johnson W R
Division of Surgery, Alfred Hospital, Prahran, Victoria, Australia.
J Trauma. 1994 Mar;36(3):421-3. doi: 10.1097/00005373-199403000-00030.
Intercostal hernias are rarely reported in the literature. We report a case of intercostal hernia secondary to a ruptured right hemidiaphragm and fractured costal margin caused by blunt trauma. The patient was ventilated at initial hospitalization because of rib fractures and advanced age, and the intercostal hernia was not evident. After physical rehabilitation treatment elsewhere, a painful chest wall bulge developed. A chest film and computed tomographic scan revealed the hernia. Surgery with a thoraco-abdominal incision in the line of the hernia allowed reduction of the hernial contents.
肋间疝在文献中鲜有报道。我们报告一例因钝性创伤导致右半膈肌破裂和肋缘骨折继发的肋间疝病例。患者因肋骨骨折和高龄在初次住院时接受了通气治疗，肋间疝并不明显。在其他地方接受身体康复治疗后，出现了疼痛的胸壁肿块。胸部X光片和计算机断层扫描显示了疝的存在。通过在疝的走行线上做胸腹联合切口进行手术，使疝内容物得以回纳。
