Post-traumatic pulmonary hernia

David, Jean-Stéphane; Tassin, Candice; Maury, Jean‐Michel

doi:10.1136/thoraxjnl-2012-203181

Cited by 3 publications

(4 citation statements)

References 2 publications

(2 reference statements)

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“…Blunt trauma mechanisms were reported in three cases with high-energy (motorcycle accident) mechanisms and resulting penetrating injuries to the thorax, possibly from open rib fractures. 2,3,5 Our patient, like four others in published case reports, had stab wounds. All these patients were in stable condition (Table ), with presenting complaints of chest pain and shortness of breath.…”

Section: Discussionsupporting

confidence: 71%

“…When the stability of the patient allows, a CT may be preferred to provide information about the size of the chest wall defect and associated injuries in the thorax and abdomen. [1][2][3][4][5][6] However, these patients are at high risk of serious internal injuries and decompensation, and delay of definitive operative treatment can be detrimental.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, there are few articles with recommendations on the medical management of these patients. [1][2][3][4][5][6] Moreover, there is often confusion regarding the terminology used to define evisceration. Among clinicians, evisceration and herniation of the lung are terms sometimes used interchangeably.…”

Section: Introductionmentioning

confidence: 99%

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Anterior Lung Evisceration Following an Assault with Knife: A Case Report

Ferreira-Pozzi

Erramouspe

Folonier

et al. 2021

Clinical Practice and Cases in Emergency Medicine

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Introduction: Evisceration of the lung is a rare consequence of open chest trauma that can be fatal. Evisceration of the lung refers to the protrusion of lung parenchyma through a defect of the thoracic wall, without parietal pleural or skin coverage. Case report: A 20-year-old man was brought to the emergency department (ED) with left lung evisceration from stab wounds. The eviscerated lung was left in place, and the patient was not intubated in the ED. He was immediately taken to the operating room (OR) for intubation and surgical repair. Other significant injuries were ruled out, the eviscerated lung was retrieved, the chest wall defect was closed, and the patient recovered well. He was discharged after seven days in good condition. Conclusion: The initial management of patients with lung evisceration is critical to prevent rapid decompensation and death. Appropriate ED airway management, lung retrieval in the OR, and thoracic wall repair is recommended for patients with lung evisceration.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior Lung Evisceration Following an Assault with Knife: A Case Report

Ferreira-Pozzi

Erramouspe

Folonier

et al. 2021

Clinical Practice and Cases in Emergency Medicine

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“…En el presente caso, se optó por el tratamiento quirúrgico por la sintomatología del paciente a pesar de la analgesia, la cual tendía a empeorar su función respiratoria. Se han reportado varias técnicas para la corrección de estas hernias, como el cubrimiento con tejido autólogo, materiales sintéticos 14 o biológicos 28 , y las reconstrucciones con fijación interna [29][30][31] , la mayoría con técnica abierta.…”

Section: Tratamientounclassified

Hernia pulmonar espontánea secundaria a acceso de tos; reparación por técnica asistida por video

Zapata¹,

Botero²,

Bolívar³

et al. 2015

Rev Colomb Cir

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La hernia pulmonar es la protrusión del tejido pulmonar a través de una de las estructuras que lo contienen. Generalmente, son secundarias a traumatismos o a un procedimiento quirúrgico; con menos frecuencia, pueden ser espontáneas posteriores a accesos de tos. El diagnóstico se hace por el cuadro clínico y debe confirmarse con radiografía o tomografía, con las cuales se puede ver la protrusión del tejido pulmonar a través de los espacios intercostales. Pueden tratarse de manera conservadora si son asintomáticas, pero el tratamiento más común es el quirúrgico, con técnica abierta o asistida por video. Se presenta una revisión bibliográfica y el reporte de un caso manejado con técnica asistida por video.

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