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Transdiaphragmatic intercostal hernia

DISCOVERIES (ISSN 2359-7232), 2021, January-March issue

CITATION: 

Ioannidis O, Mariorakis C, Malliora A, Christidis P, Loutzidou L, Mantzoros I et al. Transdiaphragmatic Intercostal Hernia-An Unusual Hepatic Injury After a Car Accident: A Case Report and Review of the Literature. Discoveries 2021, 9(1): e123. DOI: 10.15190/d.2021.2


Submitted: January 21, 2021; Revised: February 12, 2021; Accepted: February 13, 2021; Published: March 04, 2021; 

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Transdiaphragmatic Intercostal Hernia-An Unusual Hepatic Injury After a Car Accident: A Case Report and Review of the Literature

Orestis Ioannidis, Chrysovalantis Mariorakis, Anastasia Malliora, Panagiotis Christidis (*), Lydia Loutzidou, Ioannis Mantzoros, Manousos George Pramateftakis, Efstathios Kotidis, Nikolaos Ouzounidis, Vasilis Foutsitzis, Stamatios Aggelopoulos

4th Academic Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece


*Corresponding authors: Panagiotis Christidis MD, MSc, 4th Academic Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Mitropolitou Iosif 17, Thessaloniki, 54622, Greece; Phone: +30 6940 730227; E-mail: panagiotischristidis13@gmail.com

Abstract

Transdiaphragmatic intercostal hernia, in which the abdominal contents of the hernia protrude through the diaphragm and the thoracic wall defect. is a very rare type of hernia with only a few cases having been reported in the literature. That type of hernia is usually manifested in male patients after trauma, penetrating or blunt. It is frequently presented with a palpable thoracic mass and pain. The indicated treatment is surgery.

We present the case of a 60-year-old female admitted to the hospital after a car accident and suffered multiple rib fractures (6th, 7th, 8th right ribs / 7th, 8th, 9th left ribs), as well as flail thorax, hemothorax bilaterally, left subcutaneous emphysema and swelling of soft tissues of the right lateral thoracoabdominal wall. CT scan revealed herniation of hepatic parenchyma and intestinal loops into the thorax. The patient was treated surgically, and his postoperative course was uneventful. 

We also review the relevant literature concerning this transdiaphragmatic, intercostal hernia and identify 42 cases. 

Transdiaphragmatic intercostal hernia is a rare condition, usually manifested in male patients after trauma, penetrating or blunt. It is frequently presented with a palpable thoracic mass and pain. The indicated treatment is surgery.

Access full text of the manuscript here: 

References

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