Laparoscopic Repair of an Abdominal Intercostal Hernia Following Blunt Trauma: A Case Report

Rebein, Benjamin; Fakhoury, Elias; Abolghasemi, Daria; Bui, Hoan

doi:10.14740/jcs261w

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Acquired intercostal hernias develop from penetrating or blunt trauma; increased intrathoracoabdominal pressure such as coughing, sneezing, or heavy lifting; or in patients with muscle weakness, osteoporosis, or chronic obstructive pulmonary disease (Fig 11) (12). The hernia commonly contains omental fat, but herniation of abdominal viscera has been reported (12,17). Additionally, tumor or metastasis can communicate between the pleural cavity and retroperitoneum at the costal insertions (Fig 12).…”

Section: Abdominal Organs May Herniate Into the Chest If The Defect Is Large (Fig 10)mentioning

confidence: 99%

Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

et al. 2020

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The diaphragm serves as an anatomic border between the abdominal and thoracic cavities. Pathologic conditions traversing the diaphragm are often incompletely described and may be overlooked, resulting in diagnostic delays. Several routes allow abdominal contents or pathologic processes to spread into the thorax, including along normal transphrenic structures, through congenital defects in the diaphragm, through inherent areas of weakness between muscle groups, or by pathways created by tissue destruction, trauma, or iatrogenic injuries. A thorough knowledge of the anatomy of the diaphragm can inform an accurate differential diagnosis. Often, intraperitoneal pathologic conditions crossing the diaphragm may be overlooked if axial imaging is the only approach to this complex region because of the horizontal orientation of much of the diaphragm. Multiplanar capabilities of volumetric CT and MRI provide insight into the pathways where pathologic conditions may traverse this border. Knowledge of these characteristic routes and use of multiplanar imaging are critical for depiction of specific transdiaphragmatic pathologic conditions. © RSNA, 2020 • radiographics.rsna.org

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Section: Abdominal Organs May Herniate Into the Chest If The Defect Is Large (Fig 10)mentioning

confidence: 99%

Routes of Transdiaphragmatic Migration from the Abdomen to the Chest

et al. 2020

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“…La mayoría de los casos de hernia abdominal intercostal se producen como resultado de un trauma contundente o penetrante de la pared torácica. 13,14 Erdas y colaboradores señalan que al menos 65% de los casos están relacionados con traumas, mientras que 20% lo están con cirugías previas. Alrededor de 30% de los pacientes tienen fracturas costales asociadas.…”

Section: Discussionunclassified

Manejo toracolaparoscópico de una hernia intercostal abdominal adquirida

Toto-Morales¹,

Mora²,

Martínez–Munive³

et al. 2022

Anales Médicos De La Asociación Médica Del Centro Médico ABC

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RESUMENLas hernias intercostales abdominales son una condición rara, se caracterizan por la protrusión del contenido herniario a través de un defecto intercostal sin anormalidades diafragmáticas. La mayoría se manifiestan en el contexto de un trauma y con fracturas costales asociadas. Presentamos el caso de un paciente cuya hernia únicamente se asoció a tos crónica sin fractura costal. Describimos una forma diferente con un abordaje mixto de reforzamiento a nivel abdominal y torácico por mínima invasión.

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“…El abordaje más empleado ha sido el abierto sobre la tumoración herniaria (68.9 %) con colocación de material protésico fijado con puntos pericostales de material reabsorbible sin necesidad de aproximación de las costillas con puntos de cerclaje. Se han descrito seis reparaciones por vía laparoscópica 2,6,[16][17][18] y tres robóticas 19,20 , pero con seguimientos cortos.…”

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