Left intercostal lung hernia

Case contributed by Albert P. Matifoll
Diagnosis certain

Presentation

Chronic extrinsic allergic alveolitis that required a lung transplantation.

Patient Data

Age: 59
Gender: Female
x-ray

Left lung transplantation. There is a thin line (air-density) adjacent to the 6th-7th left ribs that suggests the presence of a small lung herniation. Loss of volume of the right native lung and chronic pleuropulmonary changes.

 

Confirmation of the small left lung herniation using CT.

Case Discussion

Congenital lung hernias are rare. Most patients that suffer from lung hernias have been involved in traffic accidents or have undergone thoracic surgery. Chest wall and pulmonary surgery debilitate the chest wall muscles, facilitating the herniation.

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