Hernia pulmonar espontánea secundaria a acceso de tos; reparación por técnica asistida por video
DOI:
https://doi.org/10.30944/20117582.375Palabras clave:
pared torácica, músculos intercostales, hernia, hernia diafragmática traumática, cirugía torácica asistida por videoResumen
La hernia pulmonar es la protrusión del tejido pulmonar a través de una de las estructuras que lo contienen. Generalmente, son secundarias a traumatismos o a un procedimiento quirúrgico; con menos frecuencia, pueden ser espontáneas posteriores a accesos de tos. El diagnóstico se hace por el cuadro clínico y debe confirmarse con radiografía o tomografía, con las cuales se puede ver la protrusión del tejido pulmonar a través de los espacios intercostales. Pueden tratarse de manera conservadora si son asintomáticas, pero el tratamiento más común es el quirúrgico, con técnica abierta o asistida por video. Se presenta una revisión bibliográfica y el reporte de un caso manejado con técnica asistida por video.
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Referencias bibliográficas
1. Afzal MR, Wilson JH. Images in clinical medicine. Lung herniation after cardiac surgery. N Engl J Med. 2013;368:e35.
https://doi.org/10.1056/NEJMicm1204602
2. Kye YK, Kim YD. Intercostal lung hernia after pectus bar removal. Korean J Thorac Cardiovasc Surg. 2012;45:138-9.
https://doi.org/10.5090/kjtcs.2012.45.2.138
3. DiMarco AF, Oca O, Renston JP. Lung herniation. A cause of chronic chest pain following thoracotomy. Chest. 1995;107: 877-9.
https://doi.org/10.1378/chest.107.3.877
4. Weissberg D. Lung hernia -a review. Adv Clin Exp Med. 2013;22:611-3.
5. Yao CW, Shen TC, Tu CY. Giant pneumatocele with lung herniation. Intern Med. 2013;52:2377-8.
https://doi.org/10.2169/internalmedicine.52.1067
6. Rehman T. Pulmonary hernia. Am J Med Sci. 2013;345:61.
https://doi.org/10.1097/MAJ.0b013e3182454ba9
7. Emberger JS Jr, Racine L, Maheshwari V. Lung hernia associated with hemothorax following cardiopulmonary resuscitation. Respir Care. 2011;56:1037-9.
https://doi.org/10.4187/respcare.01069
8. O'Shea M, Cleasby M. Images in clinical medicine. Lung herniation after cough-induced rupture of intercostal muscle. N Engl J Med. 2012;366:74.
https://doi.org/10.1056/NEJMicm1106070
9. Jiménez R, Hernández C, Izquierdo JM, Cabeza R. Spontaneous intercostal pulmonary hernia: a case report. Arch Bronconeumol. 2000;36:354-6.
https://doi.org/10.1016/S0300-2896(15)30156-3
10. Lakshminarayana UB, Cowen M, Kastelik JA, Morjaria JB. Intermittent swelling in the chest; a case of spontaneous intermittent lung herniation. BMJ Case Rep. 2013; 2013.
https://doi.org/10.1136/bcr-2013-201380
11. Cantó A, García A, Aguar F, Forner J, Cantó M. "Hernia de la pared torácica" o hernia pulmonar causada por la tos. Presentación de un caso tratado con neumorreducción y reconstrucción de la pared torácica. Revista de Patología Respiratoria. 2009;12:36-8.
https://doi.org/10.1016/S1576-9895(09)70088-8
12. Weissberg D, Refaely Y. Hernia of the lung. Ann Thorac Surg. 2002;74:1963-6.
https://doi.org/10.1016/S0003-4975(02)04077-8
13. Zia Z, Bashir O, Ramjas GE, Kumaran M, Pollock JG, Pointon K. Intercostal lung hernia: Radiographic and MDCT findings. Clin Radiol. 2013;68:e412-7.
https://doi.org/10.1016/j.crad.2012.11.024
14. Choe CH, Kahler JJ. Herniation of the lung: A case report. J Emerg Med. 2014;46:28-30.
https://doi.org/10.1016/j.jemermed.2013.08.040
15. Jheon S, Lee EB, Cho JY, Chang BH, Lee J, Kim KT. Thoracoscopic repair of cervical lung hernia. J Thorac Cardiovasc Surg. 2002;124:1030-1.
https://doi.org/10.1067/mtc.2002.125689
16. Gorospe L, Ayala AM, Fernández M. Postsurgical intercostal lung herniation. Arch Bronconeumol. 2015. Disponible en http:// www.archbronconeumol.org/ Fecha de descarga Abril 28 de 2015
17. Sulaiman A, Cottin V, De Souza Neto EP, Orsini A, Cordier JF, Gamondes JP, et al. Cough-induced intercostal lung herniation requiring surgery: Report of a case. Surg Today. 2006;36:978-80.
https://doi.org/10.1007/s00595-006-3284-8
18. Folz RJ, Piantadosi CA, Folz EK. Spontaneous intercostal bulge. Postgrad Med J. 1998;74:179-81.
https://doi.org/10.1136/pgmj.74.869.179
19. Su F, Zoole JB, Thompson RW, Meyers BF, Kuo E. Lung herniation after supraclavicular thoracic outlet decompression. Ann Thorac Surg. 2012;93:1720-2.
https://doi.org/10.1016/j.athoracsur.2011.08.059
20. Seder CW, Allen MS, Nichols FC, Wigle DA, Shen KR, Deschamps C, et al. Primary and prosthetic repair of acquired chest wall hernias: A 20-year experience. Ann Thorac Surg. 2014;98:484-9.
https://doi.org/10.1016/j.athoracsur.2014.03.021
21. Motta GA, Gaytán A. Hernia pulmonar intercostal. Acta Médica Grupo Ángeles. 2014;12:99-100.
22. Wiedemann D, Kocher A. Lung herniation after minimally invasive atrial-septal-defect closure. Eur J Cardiothorac Surg. 2012;42:590.
https://doi.org/10.1093/ejcts/ezs175
23. Weymann A, Szabo G. Images in clinical medicine. Lung herniation after minimally invasive cardiothoracic surgery. N Engl J Med. 2011;365:e19.
https://doi.org/10.1056/NEJMicm1013267
24. Tack D, Wattiez A, Schtickzelle JC, Delcour C. Spontaneous lung herniation after a single cough. Eur Radiol. 2000;10:500-2.
https://doi.org/10.1007/s003300050084
25. Detorakis EE, Androulidakis E. Intercostal lung herniation--the role of imaging. J Radiol Case Rep. 2014;8:16-24.
https://doi.org/10.3941/jrcr.v8i4.1606
26. Marlow S, Campbell T, Davis A, Patel HR. Emergency ultrasound in the diagnosis of traumatic extrathoracic lung herniation. Am J Emerg Med. 2013;31:633.e1-2.
https://doi.org/10.1016/j.ajem.2012.09.030
27. Psathakis K, Mermigkis C, Tsintiris K. Transient lung herniation through a thoracic cage defect: A case report. Cases J. 2009;2:7524.
https://doi.org/10.4076/1757-1626-2-7524
28. Mirza A, Gogna R, Kumaran M, Malik M, Martin-Ucar A. The surgical management of intercostal lung herniation using bioprosthesis. J Surg Case Rep. 2011;2011:6.
https://doi.org/10.1093/jscr/2011.2.6
29. Lanier ST, Wetterau M, Smith-Singares E, Bilfinger T, Vosswinkel J, Shapiro MJ, et al. Management of pulmonary hernia through a flail segment in closed thoracic trauma using open reduction, internal fixation and pectoralis major flap reconstruction: A case report. Can J Plast Surg. 2011;19:145-7.
https://doi.org/10.1177/229255031101900408
30. David JS, Tassin C, Maury JM. Post-traumatic pulmonary hernia. Thorax. 2013;68:982.
https://doi.org/10.1136/thoraxjnl-2012-203181
31. Lozano-Corona R, Loyola-García U, Partida IC, RodríguezOrtega F. Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges. BMJ Case Rep. 2013; 2013.
https://doi.org/10.1136/bcr-2013-008887
32. Hebra A, Cina R, Streck C. Video-assisted thoracoscopic repair of a lung hernia in a child. J Laparoendosc Adv Surg Tech A. 2011;21:763-5.
https://doi.org/10.1089/lap.2011.0147
33. Khalil MW, Masala N, Waller DA, Cardillo G. Surgical repair of post-traumatic lung hernia using a video-assisted open technique. Interact Cardiovasc Thorac Surg. 2008;7:506-7.
https://doi.org/10.1510/icvts.2007.168658
34. Henriques A, Malena CR, Oliveira AC, Waisberg J, Pires AC. Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit. Revista do Colégio Brasileiro de Cirurgiões. 2010;37:78-80.
https://doi.org/10.1590/S0100-69912010000100016
35. Sandoval AC, Uliana F, Mingarini R, Milanez JR, Alencar A, Buarque M. Transdiaphragmatic intercostal hernia: Imaging aspects in three cases. Jornal Brasileiro de Pneumologia. 2013;39:513-7.
https://doi.org/10.1590/S1806-37132013000400016
36. Craig SR, Leaver HA, Yap PL, Pugh GC, Walker WS. Acute phase responses following minimal access and conventional thoracic surgery. Eur J Cardiothorac Surg. 2001;20:455-63.
https://doi.org/10.1016/S1010-7940(01)00841-7
https://doi.org/10.1056/NEJMicm1204602
2. Kye YK, Kim YD. Intercostal lung hernia after pectus bar removal. Korean J Thorac Cardiovasc Surg. 2012;45:138-9.
https://doi.org/10.5090/kjtcs.2012.45.2.138
3. DiMarco AF, Oca O, Renston JP. Lung herniation. A cause of chronic chest pain following thoracotomy. Chest. 1995;107: 877-9.
https://doi.org/10.1378/chest.107.3.877
4. Weissberg D. Lung hernia -a review. Adv Clin Exp Med. 2013;22:611-3.
5. Yao CW, Shen TC, Tu CY. Giant pneumatocele with lung herniation. Intern Med. 2013;52:2377-8.
https://doi.org/10.2169/internalmedicine.52.1067
6. Rehman T. Pulmonary hernia. Am J Med Sci. 2013;345:61.
https://doi.org/10.1097/MAJ.0b013e3182454ba9
7. Emberger JS Jr, Racine L, Maheshwari V. Lung hernia associated with hemothorax following cardiopulmonary resuscitation. Respir Care. 2011;56:1037-9.
https://doi.org/10.4187/respcare.01069
8. O'Shea M, Cleasby M. Images in clinical medicine. Lung herniation after cough-induced rupture of intercostal muscle. N Engl J Med. 2012;366:74.
https://doi.org/10.1056/NEJMicm1106070
9. Jiménez R, Hernández C, Izquierdo JM, Cabeza R. Spontaneous intercostal pulmonary hernia: a case report. Arch Bronconeumol. 2000;36:354-6.
https://doi.org/10.1016/S0300-2896(15)30156-3
10. Lakshminarayana UB, Cowen M, Kastelik JA, Morjaria JB. Intermittent swelling in the chest; a case of spontaneous intermittent lung herniation. BMJ Case Rep. 2013; 2013.
https://doi.org/10.1136/bcr-2013-201380
11. Cantó A, García A, Aguar F, Forner J, Cantó M. "Hernia de la pared torácica" o hernia pulmonar causada por la tos. Presentación de un caso tratado con neumorreducción y reconstrucción de la pared torácica. Revista de Patología Respiratoria. 2009;12:36-8.
https://doi.org/10.1016/S1576-9895(09)70088-8
12. Weissberg D, Refaely Y. Hernia of the lung. Ann Thorac Surg. 2002;74:1963-6.
https://doi.org/10.1016/S0003-4975(02)04077-8
13. Zia Z, Bashir O, Ramjas GE, Kumaran M, Pollock JG, Pointon K. Intercostal lung hernia: Radiographic and MDCT findings. Clin Radiol. 2013;68:e412-7.
https://doi.org/10.1016/j.crad.2012.11.024
14. Choe CH, Kahler JJ. Herniation of the lung: A case report. J Emerg Med. 2014;46:28-30.
https://doi.org/10.1016/j.jemermed.2013.08.040
15. Jheon S, Lee EB, Cho JY, Chang BH, Lee J, Kim KT. Thoracoscopic repair of cervical lung hernia. J Thorac Cardiovasc Surg. 2002;124:1030-1.
https://doi.org/10.1067/mtc.2002.125689
16. Gorospe L, Ayala AM, Fernández M. Postsurgical intercostal lung herniation. Arch Bronconeumol. 2015. Disponible en http:// www.archbronconeumol.org/ Fecha de descarga Abril 28 de 2015
17. Sulaiman A, Cottin V, De Souza Neto EP, Orsini A, Cordier JF, Gamondes JP, et al. Cough-induced intercostal lung herniation requiring surgery: Report of a case. Surg Today. 2006;36:978-80.
https://doi.org/10.1007/s00595-006-3284-8
18. Folz RJ, Piantadosi CA, Folz EK. Spontaneous intercostal bulge. Postgrad Med J. 1998;74:179-81.
https://doi.org/10.1136/pgmj.74.869.179
19. Su F, Zoole JB, Thompson RW, Meyers BF, Kuo E. Lung herniation after supraclavicular thoracic outlet decompression. Ann Thorac Surg. 2012;93:1720-2.
https://doi.org/10.1016/j.athoracsur.2011.08.059
20. Seder CW, Allen MS, Nichols FC, Wigle DA, Shen KR, Deschamps C, et al. Primary and prosthetic repair of acquired chest wall hernias: A 20-year experience. Ann Thorac Surg. 2014;98:484-9.
https://doi.org/10.1016/j.athoracsur.2014.03.021
21. Motta GA, Gaytán A. Hernia pulmonar intercostal. Acta Médica Grupo Ángeles. 2014;12:99-100.
22. Wiedemann D, Kocher A. Lung herniation after minimally invasive atrial-septal-defect closure. Eur J Cardiothorac Surg. 2012;42:590.
https://doi.org/10.1093/ejcts/ezs175
23. Weymann A, Szabo G. Images in clinical medicine. Lung herniation after minimally invasive cardiothoracic surgery. N Engl J Med. 2011;365:e19.
https://doi.org/10.1056/NEJMicm1013267
24. Tack D, Wattiez A, Schtickzelle JC, Delcour C. Spontaneous lung herniation after a single cough. Eur Radiol. 2000;10:500-2.
https://doi.org/10.1007/s003300050084
25. Detorakis EE, Androulidakis E. Intercostal lung herniation--the role of imaging. J Radiol Case Rep. 2014;8:16-24.
https://doi.org/10.3941/jrcr.v8i4.1606
26. Marlow S, Campbell T, Davis A, Patel HR. Emergency ultrasound in the diagnosis of traumatic extrathoracic lung herniation. Am J Emerg Med. 2013;31:633.e1-2.
https://doi.org/10.1016/j.ajem.2012.09.030
27. Psathakis K, Mermigkis C, Tsintiris K. Transient lung herniation through a thoracic cage defect: A case report. Cases J. 2009;2:7524.
https://doi.org/10.4076/1757-1626-2-7524
28. Mirza A, Gogna R, Kumaran M, Malik M, Martin-Ucar A. The surgical management of intercostal lung herniation using bioprosthesis. J Surg Case Rep. 2011;2011:6.
https://doi.org/10.1093/jscr/2011.2.6
29. Lanier ST, Wetterau M, Smith-Singares E, Bilfinger T, Vosswinkel J, Shapiro MJ, et al. Management of pulmonary hernia through a flail segment in closed thoracic trauma using open reduction, internal fixation and pectoralis major flap reconstruction: A case report. Can J Plast Surg. 2011;19:145-7.
https://doi.org/10.1177/229255031101900408
30. David JS, Tassin C, Maury JM. Post-traumatic pulmonary hernia. Thorax. 2013;68:982.
https://doi.org/10.1136/thoraxjnl-2012-203181
31. Lozano-Corona R, Loyola-García U, Partida IC, RodríguezOrtega F. Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges. BMJ Case Rep. 2013; 2013.
https://doi.org/10.1136/bcr-2013-008887
32. Hebra A, Cina R, Streck C. Video-assisted thoracoscopic repair of a lung hernia in a child. J Laparoendosc Adv Surg Tech A. 2011;21:763-5.
https://doi.org/10.1089/lap.2011.0147
33. Khalil MW, Masala N, Waller DA, Cardillo G. Surgical repair of post-traumatic lung hernia using a video-assisted open technique. Interact Cardiovasc Thorac Surg. 2008;7:506-7.
https://doi.org/10.1510/icvts.2007.168658
34. Henriques A, Malena CR, Oliveira AC, Waisberg J, Pires AC. Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit. Revista do Colégio Brasileiro de Cirurgiões. 2010;37:78-80.
https://doi.org/10.1590/S0100-69912010000100016
35. Sandoval AC, Uliana F, Mingarini R, Milanez JR, Alencar A, Buarque M. Transdiaphragmatic intercostal hernia: Imaging aspects in three cases. Jornal Brasileiro de Pneumologia. 2013;39:513-7.
https://doi.org/10.1590/S1806-37132013000400016
36. Craig SR, Leaver HA, Yap PL, Pugh GC, Walker WS. Acute phase responses following minimal access and conventional thoracic surgery. Eur J Cardiothorac Surg. 2001;20:455-63.
https://doi.org/10.1016/S1010-7940(01)00841-7
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2015-01-01
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Zapata, R.; Botero, J. E.; Bolívar, L.; Saldarriaga, C. Hernia Pulmonar espontánea Secundaria a Acceso De Tos; Reparación Por técnica Asistida Por Video. Rev Colomb Cir 2015, 30, 292-295.
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