Abstract

JUNIOR, Luiz de Abreu et al. Pulmonary Hernia and Rib Fracture after Cough: Computed Tomography Diagnosis. Acta Radiol Port [online]. 2020, vol.32, n.3, pp.17-19.  Epub July 12, 2021. ISSN 2183-1351.  https://doi.org/10.25748/arp.19941.

The authors report a case of a 90-year-old male patient who presented with chest pain and bulging of the right chest wall after an intense coughing crisis. At physical examination, the bulging increased during expiration. The initial radiographic study did not reveal any significant change. Due to persistence of symptoms, Computed Tomography (CT) scan was performed, which revealed fracture of posterior 8th right rib and pleural effusion. As a result, a hernia of the right lung lower lobe secondarily developed, through the 8th enlarged right intercostal space. Based on this case, authors review etiological and pathophysiological aspects related to pulmonary hernias, highlighting the role of imaging methods in the diagnosis, as this condition may be clinically underdiagnosed.

Keywords : Hernia; Computed tomography; Lungs; Ribs..

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