Intercostal lung hernia after pectus bar removal

  • Kye Y
  • Kim Y
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Fig. 1. Chest radiograph showing the right pneumothorax. Fig. 2. Computed tomographic scan of the chest showing herniation (arr-owhead) of the right middle lobe (A) and the left upper lobe (B). A 27-year-old man presented with chest pain and shortness of breath. A chest radiograph revealed collapse of the right lung (Fig. 1); this was his third episode of ipsilateral pneu-mothorax during the past 3 years. He had a history of mini-mally invasive repair of pectus excavatum (MIRPE) at anoth-er hospital 11 years earlier, and he had undergone surgery for a bar removal 4 years earlier. The computed tomographic scan of the chest revealed deformed ribs, costal cartilages, herniation of both lungs through the chest walls (Fig. 2), and a huge bulla in the right upper lobe. During surgery, the right lung was densely adhered to the parietal pleura, and the me-dial segment of the right middle lobe was herniated through the chest wall (Fig. 3). We resected the bulla of the right up-per lobe and the herniated portion of the right middle lobe with an endostapler after the adhered lung was dissected free due to air leakages from those lobes. Complications related to a pectus bar such as displacement,

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  • Yeo Kon Kye

  • Young Du Kim

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