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Ann Thorac Surg 2002;74:927-929
© 2002 The Society of Thoracic Surgeons

Case report

Traumatic extrathoracic lung herniation

Loïc Lang-Lazdunski, MD, PhD*a, Pierre-Mathieu Bonnet, MDa, François Pons, MDa, Louis Brinquin, MDb, René Jancovici, MDa

a Department of Thoracic Surgery, Percy Military Hospital, Clamart, France
b Department of Anesthesiology, Val-de-Grâce Military Hospital, Paris, France

Accepted for publication April 1, 2002.

* Address reprint requests to: Dr Lang-Lazdunski, Service de Chirurgie Thoracique, Hôpital d’Instruction des Armées Percy, 101 avenue Henri Barbusse BP406, 92141 Clamart cedex, France
e-mail: loic.lang{at}wanadoo.fr

Traumatic extrathoracic lung herniation is an exceptional complication of blunt chest trauma. We report the case of a 46-year-old man who was involved in a motorcycle accident and who suffered a left clavicle fracture-dislocation associated with multiple rib fractures and massive herniation of the left upper lobe through an upper anterior chest wall defect. Immediate surgical repair through an atypical transcostal vertical thoracotomy resulted in full recovery of pulmonary function at 1 year.




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