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Case Reports
. 2019 Oct 14;12(10):e231706.
doi: 10.1136/bcr-2019-231706.

Spontaneous pulmonary hernia secondary to intercostal muscle tear

Anne M O' Mahony  1 , Kevin M Murphy  2 , Terence M O'Connor  3 , David R Curran  3
Affiliations
Case Reports

Spontaneous pulmonary hernia secondary to intercostal muscle tear

Anne M O' Mahony et al. BMJ Case Rep. .
No abstract available

Keywords: respiratory medicine; ultrasonography.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT of thorax with contrast demonstrating widening posterolaterally of the intercostal space between the left eighth and ninth ribs at the costophrenic angle and herniation of the pleura and lung between the ribs on axial views (A,B, asterisk) and into the chest wall, deep to the oblique muscles, serratus anterior and latissimus dorsi on coronal views (C,D, asterisk). Bibasal atelectasis, scarring, diffuse bronchial wall thickening and endobronchial plugging are present in the lower lobes. P, posterior
Figure 2
Figure 2
On US of the chest wall, the hernia is reduced (A,B). A tear in the intercostal muscles is seen (A), confirming the cause of the pulmonary hernia. This is demonstrated by enlargement of the intercostal gap and the presence of a hypoechoic and disorganised muscle (A, arrow). (B) In comparison, the normal appearance of an ICS and intercostal muscle on US is illustrated. ICS, intercostal space; US, ultrasonography.
See this image and copyright information in PMC

References

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