Korean J Thorac Cardiovasc Surg.  2011 Dec;44(6):455-457. 10.5090/kjtcs.2011.44.6.455.

Congenital Intercostal Lung Herniation Combined with an Unusual Morgagni's Hernia

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Korea. yumccs@nate.com

Abstract

A 70-year-old male visited urgent care due to coughing for 1 month and left chest pain. He had no history of trauma. The initial chest computed tomography (CT) showed the 7th left intercostal lung herniation. A follow-up CT showed an intercostal lung herniation combined with a bowl herniation, which had developed due to a Morgagni's hernia. An emergency operation was performed due to the incarceration of the bowl and lung. The primary repair of the diaphragm was performed and the direct approximation of the 7th intercostal space was determined. We concluded that the defect of the diaphragm and the intercostal muscle was a congenital lesion, and the recurrent coughing was the aggravating factor of herniation.

Keyword

Morgagni's hernia; Hernia, lung

MeSH Terms

Aged
Ambulatory Care
Chest Pain
Cough
Diaphragm
Emergencies
Follow-Up Studies
Hernia
Humans
Intercostal Muscles
Lung
Male
Thorax
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