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Chirurgia 2014 February;27(1):35-7

language: English

Spontaneous transdiaphragmatic intercostal hernia secondary to coughing

De Giacomo T., Francioni F., Bruschini P., Scoglio D., Fagiani B., Balla A., D’Ambrosio G.

“P. Stefanini” Department of Surgery and Transplantation La Sapienza University of Rome, Rome, Italy


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The cough is an important physiologic response to protect airways. Violent and paroxysmal coughs have been associated with several complications. This type of hernia has been called a trans-diaphragmatic intercostal hernia or intercostal pleuro-peritoneal hernia. In this report, we describe the case of a patient who developed rib fractures and diaphragmatic rupture with abdominal visceral herniation into the thoracic cavity and subcutaneously as a result of coughing due to pulmonary infection

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