Aggravation and deliberation over lung herniation

Michelle N. Lee*, Luke T. Surry, David M. Ferraro

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


A Caucasian woman aged 58 years with history of asthma and surgically repaired congenital diaphragmatic hernia presented to the emergency department (ED) with persistent cough, pleuritic chest pain, shortness of breath, in spite of recent treatment for influenza A virus. On physical examination, a large bulge was protruding from her left posterior thorax. She was found to have a large abnormal radiographic lucency on lateral chest X-ray posterior to the thoracic cavity, confirmed with chest CT to represent a large lung herniation in between the left seventh and eighth ribs. The patient was evaluated by a thoracic surgeon and offered surgical repair but ultimately decided on conservative management which to date has been ineffective.

Original languageEnglish
Article numbere229225
JournalBMJ Case Reports
Issue number5
StatePublished - 1 May 2019
Externally publishedYes


  • cardiothoracic surgery
  • respiratory medicine


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