Abstract
Background: Intercostal hernias are rare types of hernias occurring mainly due to trauma to the chest wall. There are two main types, acquired abdominal intercostal hernia and transdiaphragmatic intercostal hernia. The occurrence of each one alone is uncommon, however the parallel presentation of both types in the same patient is highly unusual.
Case Report: A 40 years old male presented with a one year history of a bulge over the left chest wall almost 7 years after penetrating and blunt trauma to the left chest wall. He was found to have both an acquired abdominal intercostal hernia and a transdiaphragmatic intercostal hernia. Both defects were repaired successfully through a laparotomy with reduction of hernia contents and repair using a prosthetic mesh.
Conclusion: The diagnosis of intercostal hernias should be considered in patients presenting with a swelling on the chest wall particularly after any form of trauma to the area. Imaging may guide diagnosis however it is mostly clinical. Most cases need surgical repair.
Keywords: Intercostal Hernia; Acquired Abdominal Intercostal Hernia (AAIH); Transdiaphragmatic Intercostal Hernia (TDIH)
References
- Abunnaja S., et al. “Acquired Abdominal Intercostal Hernia: A Case Report and Literature Review”. Case Reports in Surgery (2014): 1-5.
- Erdas E., et al. “Acquired abdominal intercostal hernia: case report and systematic review of the literature”. Hernia 5 (2014): 607-615.
- Benizri E., et al. “Post-traumatic transdiaphragmatic intercostal hernia: report of two cases”. Surgery Today1 (2012): 96-99.
- Sharma O and Duffy B. “Transdiaphragmatic Intercostal Hernia: Review of the World Literature”. Journal of Trauma and Acute Care Surgery 6 (2001): 1219.
- Rogers F., et al. “Traumatic Transdiaphragmatic Intercostal Hernia Secondary to Coughing”. The Journal of Trauma: Injury, Infection, and Critical Care 5 (1996): 902-903.
- De Weerd L., et al. “A large abdominal intercostal hernia in a patient with vascular type Ehlers-Danlos syndrome: a surgical challenge”. Hernia1 (2010): 117-120.
- Biswas S and Keddington J. “Soft right chest wall swelling simulating lipoma following motor vehicle accident: transdiaphragmatic intercostal hernia. A case report and review of literature”. Hernia5 (2008): 539-543.
- Kalles V., et al. “Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature”. International Surgery 3 (2015): 444-449.
- Dan D., et al. “Laparoscopic repair of a rare acquired abdominal intercostal hernia”. International Journal of Surgery Case Reports 12 (2014): 1041-1043.
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