Lung hernia
| Lung hernia |
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Lung hernia (Sibson hernia) is a protrusion of lung outside of thoracic wall. In 20% patients with lung hernia, the incidence is congenital. In 80% of the cases, the hernia is noted after chest trauma, thoracic surgery or certain pulmonary diseases.[1] Congenital hernia occurs because of the weakness of the suprapleural membrane or neck muscles. In pulmonary diseases such as asthma, frequent coughing can lead to high intra thoracic pressure, causing the lung to herniate out. Lung hernia may occur near the neck (cervical), between the ribs (intercostal), near the vertebrae (paravertebral) or near the sternum (parasternal).[2]
Clinical manifestations
The patient presents with a protrusion near the neck or between the ribs. The mass becomes prominent when the patient is straining or coughing. In asymptomatic individuals, lung hernia is incidentally detected in a chest X-ray taken for another reason.[3] On physical examination, a prominence or mass is seen during Valsalva maneuver.
Diagnosis
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Treatment
No treatment is needed for correcting lung hernias. Some surgeons offer cosmetic surgery to remove the protruding mass.
References
- ^ Glenn, C (May 1997). "Lung hernia". Am J Emerg Med. 15: 260–2. doi:10.1016/s0735-6757(97)90009-7. PMID 9148981.
- ^ Kleigman, Stanton (2012). Nelson's Textbook of Pediatrics. Elsevier Publications. p. 1467. ISBN 978-81-312-3277-4.
- ^ Bhalla, Leitman (January 1990). "Lung hernia: radiographic features". American Journal of Roentgenology. 154: 51–53. doi:10.2214/ajr.154.1.2104725. Retrieved 18 March 2016.