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Ann Thorac Surg 1998;65:1150-1151
© 1998 The Society of Thoracic Surgeons

Case Reports

Delayed Presentation of Traumatic Parasternal Lung Hernia

Michael J. Jacka, MDaa, Fabio Luison, MDaa

a Atlantic Health Sciences Corporation, Saint John, New Brunswick, Canada

Accepted for publication November 8, 1997.

Address reprint requests to Dr Jacka, Department of Anesthesia, Atlantic Health Sciences Corporation, 400 University Ave, Saint John, NB, Canada E2L 4L2
e-mail: (mjjacka{at}nbnet.nb.ca)

Traumatic lung herniation is an unusual clinical problem. This case report describes a morbidly obese individual who sustained significant chest trauma in a motor vehicle accident. Lung herniation was noted at the time of delayed respiratory failure necessitating ventilation. The significance of the lung hernia in this patient’s respiratory failure is uncertain. The lung hernia was repaired surgically to relieve pain, prevent incarceration, and optimize respiratory function. After a brief period of postoperative ventilation, the patient recovered markedly and has been well since.




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