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Eur J Cardiothorac Surg 2001;19:360
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Post-traumatic hernia of the lung

Pier Luigi Filosso, Alberto Oliaro, Giovanni Donati, Ottavio Rena

Department of Thoracic Surgery, University of Torino, San Giovanni Battista Hospital, Via Genova, 3 10126 Torino, Italy

Received 8 November 2000; received in revised form 21 December 2000; accepted 22 December 2000.

Corresponding author. Tel.: +39-011-633-6635; fax: +39-011-696-0170
e-mail: pierluigifilosso{at}tiscalinet.it

A 71-year-old male was referred to us after a steer-wheel blunt trauma of the chest.

Computed thomography scan of the chest revealed a post-traumatic pulmonary hernia associated with right haemothorax (Fig. 1).



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  		Fig. 1. Computed thomography of the chest: 8 cm, maximum diameter hernia of the anterior segment of the upper right lobe of the lung through the chest wall.

 
Anterolateral right thoracotomy was performed and herniation through the chest wall of the anterior segment of the upper lobe of the lung was detected.

The herniated lung was reduced into the pleural cavity and the chest wall was reconstructed by a Prolene mesh.




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