Conservative management of traumatic lung hernia.

Bikhchandani, Jai; Balters, Marcus W; Sugimoto, Jeffrey T · Ann Thorac Surg · 2012

case_report · Level V

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Abstract

Traumatic lung hernia is a rare entity. The majority of cases reported in the literature have been treated surgically with early thoracotomy to prevent strangulation of pulmonary tissue. We report the case of a 63-year-old patient who experienced a 20-foot fall, causing multiple rib fractures with a lung hernia that was managed conservatively for 48 hours followed by spontaneous resolution of the herniated pulmonary segment. There is a need to review the indications for surgical versus conservative approach in the management of posttraumatic lung hernia.

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