FRACTURES OF THE RIBS AND THE DIAPHRAGMATIC RUPTURE WITH A FORMATION OF THE TRANSDIAPHRAGMATIC INTERCOSTAL HERNIA AS A RESULT OF SEVERE COUGHING (CLINICAL OBSERVATION WITH A REVIEW OF THE LITERATURE)
Abstract
ABSTRACT. Severe coughing might lead to development of a number of complications, including the diaphragmatic rupture and the ribs fractures. The report contains two similar rare clinical cases: male patients aged 48 and 74 years with transdiaphragmatic intercostal thoracic wall hernia after the rupture of the left half of the diaphragm and ribs fractures as a result of violent coughing. Both patients had a late diagnosis of injuries. Surgical therapy was performed via thoracotomy access using a mesh implant. histological study of the rib in the damaged area in one case detected fibrous osteodysplasia. The review of literature on this rare type of injury was analyzed.
About the Authors
S. N. DanielyanRussian Federation
M. M. Abakumov
Russian Federation
R. S. Muslimov
Russian Federation
I. E. Galankina
Russian Federation
A. P. Vilk
Russian Federation
References
1. Irwin R.S., Rosen M.J., Braman S.S. Cough a comprehensive review // Arch. Intern. Med. – 1977. – Vol. 137, – P. 1186–1191.
2. Nakanishi H., Iwasaki S., Ohkawa Y., et al. Diaphragmatic rupture due to violent cough during tracheostomy // Auris Nasus Larynx. – 2010. – Vol. 37, N. 1. – P. 121–124.
3. Kallay N., Crim L., Dunagan D.P., et al. Massive left diaphragmatic separation and rupture due to coughing during an asthma exacerbation // South Med. J. – 2000. – Vol. 93, N. 7. – P. 729–731.
4. George L., Rehman S.U., Khan F.A. Diaphragmatic rupture: A complication of violent cough // Chest. – 2000. – Vol. 117, N. 4. – P. 1200–1201.
5. Ayers D.E., LeFeuvre A., Barker P. Surgical repair of intercostal pulmonary hernia secondary to cough induced rib fracture // J. R. Nav. Med. Serv. – 2002. – Vol. 88, N. 2. – P. 55–56.
6. De Maeseneer M., De Mey J., Debaere C., et al. Rib fractures induced by coughing: an unusual cause of acute chest pain // Am. J. Emerg. Med.- 2000. – Vol. 18, N. 2. – P. 194–197.
7. Rogers F.B., Leavitt B.J., Jensen P.E. Traumatic transdiaphragmatic intercostal hernia secondary to coughing: case report and review of the literature // J. Trauma. – 1996. – Vol. 41, – N. 5. – P. 902–903.
8. Daniel R., Naidu B., Khalil-Marzouk J. Cough-induced rib fracture and diaphragmatic rupture resulting in simultaneous abdominal visceral herniation into the left hemithorax and subcutaneously // Eur. J. Cardiothorac. Surg. – 2008. – Vol. 34, N. 4. – P. 914–915.
9. Chaar C.I., Attanasio P., Detterbeck F. Disruption of the costal margin with transdiaphragmatic abdominal herniation induced by coughing // Am. Surg. – 2008. – Vol. 74, N. 4. – P. 350–353.
10. Lasithiotakis K., Venianaki M., Tsavalas N. et al. Incarcerated spontaneous transdiaphragmatic intercostal hernia // Int. J. Surg. Case Rep. – 2011. – Vol. 2, N. 7. – P. 212–214.
11. Roberge R.J., Morgenstern M.J., Osborn H. Cough fracture of the ribs // Am. J. Emerg. Med. – 1984. – Vol. 2, P. 513.
12. Oechsli W.R. Rib fractures from cough: report of twelve cases // J. Thorac. Surg. – 1936. – Vol. 5, – P. 530–534.
13. Cole F.H. Jr., Miller M.P., Jones C.V. Transdiaphragmatic intercostal hernia // Ann. Thorac. Surg. – 1986. – Vol. 41, N. 5. – P. 565–566.
14. Henriques A.C., Malena C.R., Freitas A.C., et al. Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit // Rev. Col. Bras. Cir. – 2010. – Vol. 37, N. 1. – P. 78–80.
15. Dutta T. Spontaneous rupture of diaphragm due to pertusis // J. Pediatr. Surg. – 1975. – Vol. 10, N. 1. – P. 147–148.
16. Yeh C.F., Su S.C. Cough-induced rib fracture in a young healthy man // J. Formos. Med. Assoc. – 2012. – Vol. 111, N. 3. – P. 179–180.
17. Schnüriger B., Lerf B. Unstable thorax after a coughing fit in a 70-yearold adipose patient // Chirurg. – 2006. – Vol. 77, N. 5. – P. 459–462.
18. Khan A.S., Bakhshi G.D., Khan A.A., et al. Transdiaphragmatic intercostal hernia due to chronic cough // Indian J. Gastroenterol. – 2006. – Vol. 25, N. 2. – P. 92–93.
19. Hillenbrand A., Henne-Bruns D., Wurl P. Cough induced rib fracture, rupture of the diaphragm and abdominal herniation// World J. Emerg. Surg. – 2006. – Vol. 1, P. 34.
20. Sharma O.P., Duffy B. Transdiaphragmatic intercostal hernia: review of the world literature and presentation of a case // J. Trauma. – 2001. – Vol. 50, N. 6. – P. 1140–1143.
21. Hanak V., Hartman T.E., Ryu J.H. Cough-induced rib fractures. Mayo Clin. Proc. – 2005. – Vol. 80, N. 7. – P. 879–882.
22. Croce E.J., Mehta V.A. Intercostal pleuroperitoneal hernia// J. Thorac. Cardiovasc. Surg. – 1979. – Vol. 77, – P. 856–857.
23. Abu-Gazala M., Ratnayake A., Abu-Gazala S., Bala M. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia // Hernia. – 2013. – Vol. 17, N. 3. – P. 415–418.
24. Aggarwal G., Khandelwal G., Shukla S., et al. Spontaneous transdiaphragmatic intercostal hernia: a rare clinical entity // Hernia. – 2012. – Vol. 16, N. 1. – P. 113–115.
25. Vrbanić T.S., Novak S., Sestan B., et al. A case of pathological rib fractures: focal osteolysis or osteoporosis? // West Indian. Med. J. – 2008. – Vol. 57, N. 2. – P. 178–181.
26. Русаков А.В. Патологическая анатомия болезней костной системы.- М.: Медгиз, 1959. – 536 с. Rusakov A.V. Patologicheskaya anatomiya bolezney kostnoy sistemy [Pathological anatomy of diseases of the skeletal system]. Moscow: Medgiz Publ., 1959. 536 p
27. Kao P., Fang H.Y., Lu T.Y., et al. Strangulation of chronic transdiaphragmatic intercostal hernia // Ann. Thorac. Surg. – 2014. – Vol. 97, N. 6. – P. 155–157.
28. Macedo A.C., Kay F.U., Terra R.M., et al. Transdiaphragmatic intercostal hernia: imaging aspects in three cases // J. Bras. Pneumol. – 2013. – Vol. 39, N. 4. – P. 513–517.
Review
For citations:
Danielyan S.N., Abakumov M.M., Muslimov R.S., Galankina I.E., Vilk A.P. FRACTURES OF THE RIBS AND THE DIAPHRAGMATIC RUPTURE WITH A FORMATION OF THE TRANSDIAPHRAGMATIC INTERCOSTAL HERNIA AS A RESULT OF SEVERE COUGHING (CLINICAL OBSERVATION WITH A REVIEW OF THE LITERATURE). Russian Sklifosovsky Journal "Emergency Medical Care". 2014;(4):42-47. (In Russ.)