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Eur J Cardiothorac Surg · Oct 2008
Case ReportsCough-induced rib fracture and diaphragmatic rupture resulting in simultaneous abdominal visceral herniation into the left hemithorax and subcutaneously.
- Romany Daniel, Babu Naidu, and Joseph Khalil-Marzouk.
- University Hospital, Coventry, UK.
- Eur J Cardiothorac Surg. 2008 Oct 1;34(4):914-5.
AbstractViolent coughing is associated with a multitude of complications including rib fractures and diaphragmatic rupture. In this report we present a case of a 70-year-old male with the rare combination of both complications resulting in herniation of bowel into the left hemithorax and subcutaneously between the separated ribs. Surgical repair was performed via a left thoracotomy, the hernia reduced and the diaphragmatic and chest wall defect repaired primarily with excellent patient recovery and relief of symptoms.
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