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Cough-induced nonunion rib fractures and herniation: surgical repair and review

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We present the case of a 57-year-old man who had suffered pain in the left hemithorax for a year, which started after a period of severe coughing during pneumonia. The… Click to show full abstract

We present the case of a 57-year-old man who had suffered pain in the left hemithorax for a year, which started after a period of severe coughing during pneumonia. The pain was triggered by lying down. A computed tomography scan revealed two nonunion costal fractures. In the operating room, intercostal diastasis with pulmonary herniation was encountered in addition to the costal fractures. This report describes the technique used to reconstruct the thoracic wall with mesh and plate-osteosynthesis.

Keywords: cough induced; herniation surgical; induced nonunion; nonunion rib; fractures herniation; rib fractures

Journal Title: Asian Cardiovascular and Thoracic Annals
Year Published: 2018

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