Respir Case Rep. 2019; 8(2): 67-70 | DOI: 10.5505/respircase.2019.27132

Lateral Torasik Akciðer Herniasyonu: Nadir Bir Durum

Erkan Akar¹, Miktat Arif Haberal¹, Özlem Þengören Dikiþ^2
1Saðlýk Bilimleri Üniversitesi, Bursa Yüksek Ýhtisas Eðitim ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Bursa
²Saðlýk Bilimleri Üniversitesi, Bursa Yüksek Ýhtisas Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði, Bursa

Akciðer herniasyonu, göðüs duvarýndaki anormal bir açýklýktan akciðer dokusu ve plevranýn toraks kavitesi dýþýna çýkmasý olarak tanýmlanýr. Burada, nadir görülen lateral akciðer hernili bir olguyu sunduk. Hasta acil ameliyata alýnarak anterolateral torakotomi yapýldý. Kaburga ve akciðer parankim tamirinin ardýndan prostetik greft kullanmadan herni defekti kapatýldý. Hasta postoperatif beþinci günde þifa ile taburcu edildi. Cerrahinin zamanlamasý konusunda tam bir fikir birliði bulunmamasýna raðmen, künt toraks travmasýna baðlý geliþen semptomatik akciðer hernilerinde, taný konulduðu anda ameliyat yapýlmasýnýn uygun olduðunu düþünmekteyiz.

Anahtar Kelimeler: Akciðer hernisi, göðüs duvarý, travma, torakotomi

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Lateral Thoracic Lung Herniation: A Rare Condition

Erkan Akar¹, Miktat Arif Haberal¹, Özlem Þengören Dikiþ^2
1Department of Thoracic Surgery, Health Sciences University, Bursa Yuksek Ihtisas Training ad Research Hospital, Bursa, Turkey
²Department of Pulmonary Diseases, Health Sciences Universi-ty, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey

Lung herniation is described as the protrusion of lung tissue and pleura out of the thoracic cavity through an abnormal gap in the chest wall. We present a case with a rare lateral lung herniation. The patient was taken for urgent surgery and an anterolateral thoracotomy was carried out. Pursuant to rib and lung parenchyma repair, the herniation defect was closed without a prosthetic graft. The patient was discharged on the postoperative fifth day with full recovery. Although there is a lack of consensus on the timing of surgery, we are of the opinion that in blunt thorax trauma-induced symptomatic lung hernias, operating on the patient is appropriate as soon as a diagnosis is established should be advised.

Keywords: Lung herniation, chest wall, trauma, thoracotomy

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