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C-0449 - Lung hernia: Imaging findings and review of the literature.

A. P. Quispe Mauricio, A. Mejias Espada, E. Crespo Vallejo, S. Novo Aparicio, M. Álvarez Sanz, C. Izquierdo Sancho; Alcalá de Henares, Madrid/ES Type: Educational Exhibit
Area of Interests: Respiratory system, Anatomy, Thorax
Imaging Techniques: Image manipulation / Reconstruction, Digital radiography, CT
Procedure: Computer Applications-3D
Special Focus: Hernia
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Learning objectives: Describe the radiographic findings that make us suspect of the intercostal pulmonary hernia. To illustrate the most frequent radiological characteristics on CT and its role for an adequate diagnosis.

Background: Pulmonary hernia is an uncommon condition that consists of pulmonary protrusion due to a defect in the chest wall. The diagnosis is basically clinical. In the literature, isolated cases have been reported, so its prevalence is unknown at present. Pulmonary hernias are classified according to their[...]

Findings and procedure details: The radiological findings will be evidenced in the X-ray and in the CT. Usually they are associated with costal fractures (as shown in most of our cases), as well as large hematoma on the thoracic and abdominal wall (Not present in any of our cases). We describe 7 cases of pulmonary hernia. The se[...]

Conclusion: Pulmonary hernia is an uncommon entity, which is easy to recognize by chest x-ray and confirmed by thoracic CT. Three-dimensional reconstruction is necessary in some cases, especially in those who are trying to perform surgical repair.   The radiologist should be familiar with the imaging fin[...]

Personal information:

References: Jose Luis del Cura, Salvador Pedraza, Ángel Gayete: Radiología esencial. Editorial Panamericana 2010. Celik S, Aydemir C, Gürer O, Işık O. Symptomatic intercostal lung hernia secondary to sternal dehiscence surgery. Am J Case Rep. 2013 Jun 12;14:198-200.   Zia Z, Bashir O, Ramjas GE, Kumaran [...]

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