Spontaneous Pulmonary Hernia: Presentation of Four Cases and Literature Review

Sanjuanelo, Stephany Laguna; Sanz, Iker López; Zabaleta, Jon; Valiente, Borja Aguinagalde; Elena, José Miguel Izquierdo

doi:10.1016/j.cireng.2017.05.005

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Chronic obstructive pulmonary disease, asthma, infection, inflammation, neoplasm, chronic steroid use, and severe coughing are examples of potential risk factors. Lung hernias have been previously reported in case reports and case series [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. However, there is a paucity of original research studies regarding lung herniation.…”

Section: Introductionmentioning

confidence: 99%

Natural History of Lung Hernias

Madani,

Abdelhafez,

Nardo

2023

Respiration

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Background: Lung herniation has been described in case reports or series. There are scare data in the form of original research studies to systematically evaluate this condition. Objective: Our aim was to evaluate lung hernias with a focus on their natural history. Methods: This is a retrospective study at our institution of patients who were found to have lung herniation on imaging between September 2010 and November 2022. Electronic medical record review was performed to extract clinical information regarding patients. Computed tomographic imaging was used to evaluate hernia size and size progression over time with a median follow-up time of 3.8 years. Results: Thirty-eight patients were eligible for analysis. Majority of patients were overweight or obese (31/38), smokers (31/38), had prior thoracic surgery (30/38), and were asymptomatic (33/38). Twenty of 38 patients had stability in hernia size, 12 of 38 patients had hernia size progression, and 6 of 38 patients showed hernia size regression. Younger age was found to be predictive of hernia size progression with age of 60 years being the cut-off for its prediction. Conclusion: Lung hernias typically either remain stable in size or show size progression. Younger age (60 years cut-off) was found to be predictive of size progression. This is the largest systematic investigation at a medical institution to the best of our knowledge of lung hernias which used computed tomographic imaging to follow up lung hernias. Further information could be given to patients with this condition and to clinicians for potential management guidance.

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Section: Introductionmentioning

confidence: 99%

Natural History of Lung Hernias

Madani,

Abdelhafez,

Nardo

2023

Respiration

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“…Las hernias pulmonares consisten en la protusión de parénquima pulmonar a través de los espacios intercostales, relativamente infrecuentes, descritas por primera vez por Roland en el año 1499 1 , se dividen en congénitas o adquiridas, dentro de este grupo, según el mecanismo de producción pueden ser traumáticas, postoperatorias o espontáneas 2 .…”

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“…El tratamiento generalmente es quirúrgico, sin poder conocer la mejor vía de abordaje por la falta de literatura al respecto, aunque en ocasiones el tratamiento puede ser conservador, sobre todo, en hernias de pequeño tamaño y sin complicaciones asociadas 2 , 3 .…”

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Hernia pulmonar intercostal espontánea. Un diagnóstico olvidado

Salcedo Lobera,

Martinez Rodriguez

2024

Atención Primaria

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Case Report: Spontaneous lung intercostal hernia series and literature review

et al. 2023

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Spontaneous lung intercostal hernia (SLIH) is a rare condition potentially carrying severe morbidity. About 120 cases have been described so far, with an apparently increasing number of reports in recent years. The main presenting findings are chest pain and bulging, with ecchymosis in the affected area, hemoptysis, respiratory distress, and signs of infection or incarceration being described as well. The gold standard treatment has not been established, and conservative management has been advocated as first-line treatment for asymptomatic patients. Here, we report a case series of five patients, and surgical repair was deemed necessary for four of them either at first evaluation or after failure of conservative management. One patient remains under surveillance and conservative management. We believe that SLIH surgical repair should be considered as first-line treatment for fit patients, due to the uncertainty of its mid- and long-term impact and described pejorative trend/defect enlargement. A proposed algorithm for SLIH management is also presented.

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Spontaneous Pulmonary Hernia: Presentation of Four Cases and Literature Review

Cited by 3 publications

References 3 publications

Natural History of Lung Hernias

Natural History of Lung Hernias

Hernia pulmonar intercostal espontánea. Un diagnóstico olvidado

Case Report: Spontaneous lung intercostal hernia series and literature review

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