Traumatic extrathoracic lung herniation

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Presentation transcript:

Traumatic extrathoracic lung herniation Loı̈c Lang-Lazdunski, MD, PhD, Pierre-Mathieu Bonnet, MD, François Pons, MD, Louis Brinquin, MD, René Jancovici, MD The Annals of Thoracic Surgery Volume 74, Issue 3, Pages 927-929 (September 2002) DOI: 10.1016/S0003-4975(02)03669-X

Fig 1 Initial presentation in the surgical intensive care unit of patient with severe blunt chest trauma, with left clavicle fracture-dislocation associated with multiple rib fractures and massive herniation of the left upper lobe through an upper anterior chest wall defect. The patient was intubated with a single-lumen endotracheal tube at the scene of the accident. The Annals of Thoracic Surgery 2002 74, 927-929DOI: (10.1016/S0003-4975(02)03669-X)

Fig 2 Exploration of the thoracic outlet and anterior chest wall. The internal third of the clavicle is partly avulsed and the external third dislocated, exposing the subclavian vessels and brachial plexus, which appear to be intact. The first, second, and third ribs are fractured anteriorly with entrapment of the left upper lobe at this level. There are multiple lacerated intercostal vessels. The Annals of Thoracic Surgery 2002 74, 927-929DOI: (10.1016/S0003-4975(02)03669-X)

Fig 3 Functional and cosmetic results of surgery at 1 year. The cosmetic result is favorable, and left shoulder function is reported by the patient to be good after 1 year of rehabilitation. The Annals of Thoracic Surgery 2002 74, 927-929DOI: (10.1016/S0003-4975(02)03669-X)