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Antonio Bobbio
Paolo Carbognani
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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.


Figure 1
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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.

 

Figure 2
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Fig. 2. Right posterior parietal defect on chest CT-scan: bowel loops occupying the hernia sac.

 





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Antonio Bobbio
Paolo Carbognani
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