Thoracolaparoscopic management of a traumatic subacute transdiaphragmatic intercostal hernia. Second case reported. (August 2020)

• Record Type: Journal Article
• Authors: Smith-Singares, Eduardo
• Is Part Of: Trauma case reports. Volume 28(2020)
• Publication Date: 2020-08
• Subjects: Traumatic abdominal wall hernia -- TAWH -- Transdiaphragmatic intercostal hernia -- Traumatic diaphragmatic rupture -- Intercostal pleuroperitoneal hernia -- Laparoscopic bioprosthetic hernioplasty; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2020.100314
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: Background: Transdiaphragmatic intercostal hernias are extremely rare. Their physiopathology is different from traumatic diaphragmatic ruptures, and their clinical presentation and management strategies place them in a different category than abdominal intercostal hernias. Case presentation: A 56 yo female presented to the outpatient trauma clinic with a symptomatic, subacute left sided transdiaphragmatic intercostal hernia secondary to a motor vehicle crash almost 3 months prior to presentation. The injury was managed with a combined thoracoscopic and laparoscopic approach, only the second time ever this has been reported. She was discharged on POD#3, and after 6 months of follow up continues to do well, without clinical evidence of hernia recurrence. Conclusion: Minimally invasive management of this rare pathology is possible and should be encouraged.