Eur J Cardiothorac Surg 2006;29:601
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Abdominal visceral hernia through a chest wall defect secondary to open-window thoracostomy
Luca Ampollini
*
,
Antonio Bobbio,
Leonardo Cattelani,
Paolo Carbognani
Thoracic Surgery, Department of Surgical Science, University Hospital of Parma, Viale Gramsci 14, 43100 Parma, Italy
Received 12 November 2005;
received in revised form 12 November 2005;
accepted 19 December 2005.
* Corresponding author. Tel.: +39 03498483849; fax: +39 00521703559. (Email: lucampollini{at}inwind.it).
Key Words: Thoracic hernia Thoracostomy
A 71-year-old man, presented with a huge visceral hernia of the posterior thoracic wall (Figs. 1 and 2
). Ten years previously, broncho-pleural fistula and empyema occurred after right inferior lobectomy; a trans-diaphragmatic pedicled omental flap, six months after an open-window thoracostomy, led to fistula closure. Chest defect was repaired by prosthesis positioning.

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Fig. 1. Clinical appearance of the huge visceral hernia of the posterior thoracic wall. The two scars of the previous operations are visible.
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