<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512020000300017</article-id>
<article-id pub-id-type="doi">10.25748/arp.19941</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Hérnia Pulmonar com Fractura de Costela após Crise de Tosse: Diagnóstico por Tomografia Computorizada]]></article-title>
<article-title xml:lang="en"><![CDATA[Pulmonary Hernia and Rib Fracture after Cough: Computed Tomography Diagnosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Junior]]></surname>
<given-names><![CDATA[Luiz de Abreu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verrastro]]></surname>
<given-names><![CDATA[Carlos Gustavo Yuji]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ingredy Tavares da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Gleydson Martins de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Werebe]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Universitário São Camilo Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo Fleury Departamento Radiologia ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitário São Camilo Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade São Paulo (USP) Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Israelita Albert Einstein Cirurgia Torácica ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>17</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512020000300017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512020000300017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512020000300017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Os autores relatam o caso de um doente do sexo masculino de 90 anos de idade, que apresentou quadro de dor torácica e de saliência da parede torácica à direita após crise de tosse intensa, que se acentuava durante a expiração. O estudo radiográfico inicial não revelou alterações significativas. Pela persistência dos sintomas indicou-se o estudo por Tomografia Computorizada (TC) que revelou fractura da porção posterior da 8ª costela direita associado a derrame pleural. Esta alteração determinou secundariamente a formação de hérnia do lobo inferior do pulmão através do 8º espaço intercostal direito alargado. Através deste caso os autores fazem uma revisão dos aspectos etiológicos e fisiopatológicos relacionados com as hérnias pulmonares, que podem permanecer clinicamente subdiagnosticadas, destacando o papel dos métodos de imagem para o diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hérnia]]></kwd>
<kwd lng="pt"><![CDATA[Tomografia computorizada]]></kwd>
<kwd lng="pt"><![CDATA[Pulmão]]></kwd>
<kwd lng="pt"><![CDATA[Costelas.]]></kwd>
<kwd lng="en"><![CDATA[Hernia]]></kwd>
<kwd lng="en"><![CDATA[Computed tomography]]></kwd>
<kwd lng="en"><![CDATA[Lungs]]></kwd>
<kwd lng="en"><![CDATA[Ribs.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chaturvedi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rajiah]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Croake]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Saboo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chaturvedi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Imaging of thoracic hernias: types and complications.]]></article-title>
<source><![CDATA[Insights Imaging]]></source>
<year>2018</year>
<volume>9</volume>
<page-range>989-1005</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wani]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Kalamkar]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Alhassan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Farrell]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous intercostal lung herniation complicated by rib fractures: a therapeutic dilemma.]]></article-title>
<source><![CDATA[Oxf Med Case Reports]]></source>
<year>2015</year>
<volume>12</volume>
<page-range>378-81</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zapata]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Botero]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Bolivar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Saldarriaga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia pulmonar espontânea secundaria a acesso de tos, reparacion por técnica assistida por vídeo.]]></article-title>
<source><![CDATA[Rev Colomb Cir]]></source>
<year>2015</year>
<volume>30</volume>
<page-range>292-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morel-Lavallé]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Hernies du poumon]]></source>
<year>1845</year>
<volume>1</volume>
<page-range>75-915</page-range><publisher-name><![CDATA[Bull Mem Soc Chir Paris]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanjuanelo]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
<name>
<surname><![CDATA[Sanz]]></surname>
<given-names><![CDATA[IL]]></given-names>
</name>
<name>
<surname><![CDATA[Jimenes]]></surname>
<given-names><![CDATA[JZ]]></given-names>
</name>
<name>
<surname><![CDATA[Valiente]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Elena]]></surname>
<given-names><![CDATA[JMI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous pulmonary hernia: presentation of four cases and literature review.]]></article-title>
<source><![CDATA[Cirugía Española]]></source>
<year>2017</year>
<volume>4</volume>
<page-range>237-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abu Tair]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kull]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenberg]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mechera]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lateral lung hernia following a low-energy trauma without bony injuries: A case report.]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2016</year>
<volume>24</volume>
<page-range>54-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petour Gazitúa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Velásquez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Quintanilla Guidobono]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Chehade]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous pulmonary hernia: report of a case.]]></article-title>
<source><![CDATA[Medwave]]></source>
<year>2015</year>
<volume>15</volume>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zia]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Bashir]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ramjas]]></surname>
<given-names><![CDATA[GE.]]></given-names>
</name>
<name>
<surname><![CDATA[Kumaran]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pollock]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Pointon]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intercostal lung hernia: radiographic and MDCT findings.]]></article-title>
<source><![CDATA[Clin Radiol]]></source>
<year>2013</year>
<volume>68</volume>
<page-range>e412-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jatrow]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Jaroszewski]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Huh]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Baken]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Posterior lung herniation after a coughing spell: a case report.]]></article-title>
<source><![CDATA[Cases J]]></source>
<year>2009</year>
<volume>2</volume>
<page-range>86</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Erdas]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Licheri]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Calo]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<name>
<surname><![CDATA[Pomata]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acquired abdominal intercostal hernia: case report and systematic review of the literature.]]></article-title>
<source><![CDATA[Hernia]]></source>
<year>2014</year>
<volume>18</volume>
<page-range>607-15</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosi]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Volterrani]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Macarini]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cagini]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cotroneo]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Scialpi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cough-induced intercostal lung herniation succesfully diagnosed with imaging techiniques.]]></article-title>
<source><![CDATA[Recenti Prog Med]]></source>
<year>2012</year>
<volume>103</volume>
<page-range>523-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Szentkereszty]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Boros]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sápy]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kiss]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatment of intercostal hernia with implantation of polypropylene mesh.]]></article-title>
<source><![CDATA[Hernia]]></source>
<year>2006</year>
<volume>10</volume>
<page-range>354-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gross]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
<name>
<surname><![CDATA[Eversgerd]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transthoracic lung herniation due to blunt trauma.]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>2006</year>
<volume>60</volume>
<page-range>1149</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sukkarieh]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Vanmeerhaeghe]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Brasseur]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post traumatic intercostal lung herniation: a case report.]]></article-title>
<source><![CDATA[J Radiol]]></source>
<year>2002</year>
<volume>83</volume>
<page-range>1085-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
