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J Thorac Cardiovasc Surg 2006;132:189-190
© 2006 The American Association for Thoracic Surgery

Brief Communication

An unusual case of lateral pulmonary hernia

Francesco Petteruti, MD a , * , Paolo Pepino, MD a , Giuseppe De Luca, MD b , Salvatore Griffo, MD b , Luigi Di Tommaso, MD b , Paolo Stassano, MD b

a Cardiothoracic Surgery Unit, Clinica Pineta Grande Castelvolturno (CE), Naples, Italy
b Cardiothoracic Surgery Unit, University Federico II, Naples, Italy

Received for publication February 11, 2006; accepted for publication March 15, 2006.

* Address for reprints: Francesco Petteruti, MD, via Lauria 38, 81100 Caserta, Italy. (Email: tea41273@libero.it).

The first 20% of the full text of this article appears below.

Pulmonary hernia is a rare occurrence and may be congenital or acquired, the latter usually being a consequence of thoracic trauma. We report an unusual case of large lateral pulmonary hernia through a chest wall defect in a 70-year-old man involved in a motorcycle accident.

Clinical Summary

A 70-year-old obese man was involved in a high-speed motorcycle accident. Initial evaluation at the scene revealed a Glasgow Coma score of 14, left shoulder luxation, cranial trauma with left hemophthalmos, and multiple rib fractures. His blood pressure was 110/65 mm Hg, and his heart rate was 105 heart beats/min. At admission to our hospital, the patient had severe chest pain and dyspnea. Physical examination revealed a large subcutaneous emphysema involving the chest, neck, and left superior arm. He was in severe respiratory acidosis. Radiography examination revealed a left humerus fracture, a left pneumothorax, multiple rib fractures, a large left-sided effusion, and a huge subcutaneous emphysema. A . . . [Full Text of this Article]






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