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The Annals of Thoracic Surgery, Vol 49, 670-671, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Traumatic intercostal pulmonary hernia

J Forty and FC Wells
Department of Surgery, Papworth Hospital, Papworth Everard, Cambridgeshire, England.

Traumatic intercostal pulmonary hernia is a rare sequel to injury, especially in children and where there is no penetrating wound. Spontaneous regression of these hernias has been reported and conservative management has been advocated. We describe a case in which a smooth-walled intercostal defect and lung hernia that did not regress developed in a child. This was successfully repaired with a Gore-Tex (expanded polytetrafluoroethylene) patch. Repair is advisable in such cases, but operation can be delayed to allow possible resolution.

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