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Ann Thorac Surg 1990;49:670-671
© 1990 The Society of Thoracic Surgeons

Articles

Traumatic intercostal pulmonary hernia

J. Forty, MA*, F.C. Wells, MS

Department of Surgery, Papworth Hospital, Papworth Everard, Cambridgeshire, England

Accepted for publication October 12, 1989.

* Address reprint requests to Mr Forty, Department of Surgery, Papworth Hospital, Papworth Everard, Cambridgeshire CB3 8RE, England.

Traumatic intercostal pulmonary hernia is a rare sequel to injury, especially in children and when 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 aovoidable in such cases, but operation can be delayed to allow possible resolution.




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