c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Thoraco-Abdominal Hernia: 1

A D V E R T I S E M E N T

   
 

A 76-year-old man presented with a large left flank hernia. The patientís history was significant for chronic obstructive pulmonary disease (COPD) with episodes of violent coughing. Aside from the bulge and pulmonary problems, the patient was asymptomatic.      

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Thoraco-Abdominal Hernia: 2

A D V E R T I S E M E N T

   
 

On examination, the hernia was found to extend between ribs 9 and 10 into the lower chest area. The costal margin was completely separated.       

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Thoraco-Abdominal Hernia: 3

A D V E R T I S E M E N T

   
 

The CT scan showed attenuation of the flank muscle layer with small bowel freely entering the hernia defect. The diaphragm was intact.       

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This page was last modified on 12/6/2004.