Travmatik interkostal pulmoner herniasyon: Olgu sunumu

Bu yazýda, künt toraks travmasý sonrasý torasik kavite duvarýnda oluþan bir defekt nedeniyle geliþen bir interkostal pulmoner herni olgusu sunuldu. Pulmoner herniasyon tanýsý, radyolojik olarak göðüs filmi ve bilgisayarlý tomografi taramasý ile doðrulandý. Ayný zamanda diyafragmatik bir rüptür varlýðýný da gösteren video destekli bir torakoskopi ile gerçekleþtirilen ilk incelemeden sonra, bir posterolateral torakotomi operasyonu yapýldý. Torasik duvar defekti, iki rekonstrüksiyon plaðý ile tamir edildi. Herni ise protez ‘mesh (yama)’ ile baþarýlý bir þekilde tamir edildi. Literatür araþtýrmasý, pulmoner herniasyonun tedavisi gerekli olduðunda bunun cerrahi onarým olmasý gerektiðini göstermektedir.

Traumatic intercostal pulmonary herniation: a case report

We report a case of intercostal pulmonary hernia through a defect in the wall of the thoracic cavity which occurred after blunt thoracic trauma. Diagnosis of pulmonary herniation was confirmed radiologically by chest X-ray and computed tomographic scan. After initial inspection by video-assisted thoracoscopy which also revealed a diaphragmatic rupture, a postero-lateral thoracotomy was performed. The defect of the thoracic wall was repaired with two reconstruction plates. The hernia was successfully repaired with prosthetic mesh. Review of the literature shows that when required, surgical repair of pulmonary herniation is the treatment of choice.