Intercostal lung herniation
Diagnosis certain
Updates to Case Attributes
Status
changed from draft to pending review.
Presentation
was changed:
Gentleman in his sixties presents with a new left sided chest wall lump. The lump is more noticeable after a bout of coughing and the patient is able to partially push the lump back into his chest wall. He has a history of COPD and is on long term glucocorticoid therapy. There is no history of trauma.
Body
was changed:
Despite there being no evidence of trauma, this patient has suffered multiple rib fractures secondary to chronic cough and long term steroid use. This has then resulted in an acute intercostal lung herniation through the chest wall deformity and intercostal muscle weakness. Although the patient was aware of the hernia he was otherwise asymptomatic and happy to be managed conservatively.
-<p>Despite there being no evidence of trauma, this patient has suffered multiple rib fractures secondary to chronic cough and long term steroid use. This has then resulted in an acute intercostal lung herniation through the chest wall deformity and intercostal muscle weakness.</p>- +<p>Despite there being no evidence of trauma, this patient has suffered multiple rib fractures secondary to chronic cough and long term steroid use. This has then resulted in an acute intercostal lung herniation through the chest wall deformity and intercostal muscle weakness. Although the patient was aware of the hernia he was otherwise asymptomatic and happy to be managed conservatively.</p>
Updates to Study Attributes
Modality
changed from X-ray to .
Findings
was changed:
Imaging reveals a left sided intercostal lung hernia secondary to old rib fractures and intercostal muscle weakness. CXR shows hyperinflation and old healed left sided rib fractures. Air can also be seen lateral to the ribs on the lower left zone. CT image shows an intercostal lung herniation seen in the left side within the intercostal margin.
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