To cite: David J-S, Tassin C, Maury J-M. Thorax Published Online First: [please include Day Month Year] doi:10.1136/thoraxjnl2012-203181 Post-traumatic pulmonary hernia is a very rare occurrence of chest trauma, which however remains usually covered by the skin. 2 A young 22-year-old male was recently admitted to our trauma centre after being thrown from a motorcycle against a road guard barrie...

BACKGROUND Traumatic diaphragmatic hernias are a diagnostic and therapeutic challenge due to variable presentations. Early repair is important because of risks of incarceration and strangulation of abdominal contents along with respiratory and cardiovascular compromise. Minimally invasive techniques have been useful for diagnosis and treatment of diaphragmatic hernias in both blunt and penetrat...

Handlebar hernia is a rare, traumatic, abdominal wall hernia caused by high-velocity direct trauma. It involves disruption of the abdominal wall muscles, with bowel loop herniated through the defect in the abdominal wall, and may have major or even lethal complications. We report a case of bicycle-handlebar hernia in a 9-year-old boy who had all layers of his abdominal wall disrupted by a fall ...

We report the diagnosis and repair of a chronic, iatrogenic diaphragmatic hernia using minimally-invasive techniques. A 69-year-old man presented with intermittent abdominal and shoulder pain. He had previously undergone laparoscopic Nissen fundoplication in which a grasper-induced puncture injury to the left hemidiaphragm was noted but not repaired. Radiographs and CT imaging diagnosed a left ...

Traumatic abdominal wall hernia (TAWH) is rare despite the high prevalence of blunt abdominal trauma. Bullhorn hernia occurs as a result of a direct blow to the abdominal wall by the horn of a bull, which disrupts the muscles and fascia and leads to hernia formation. We report a rare case of bullhorn TAWH in a 70-year-old patient who presented with swelling at the left lumbar region. The patien...

Parastomal hernias (PSHs) are a common type of incisional hernia and the most frequent complication to colostomies. Usually only mobile structures of the abdomen herniate in the hernial sac of the non-traumatic hernia. This case describes a large PSH adjacent to a lower left quadrant colostomy containing the mobile small intestine, part of the colon and a perforated stomach. The PSH presented w...

BACKGROUND Traumatic abdominal hernia is rare and difficult to diagnose from physical symptoms. PATIENT A 60-year-old woman was admitted to the emergency department with complaints of vomiting after falling off a bicycle and hitting her abdomen against one of the handlebars 2 days earlier. Computed tomography (CT) demonstrated abdominal wall hernia from blunt trauma to the left upper abdomen....

Right diaphragmatic hernia is an uncommon injury following abdominal trauma. A case of delayed right post-traumatic diaphragmatic hernia is presented. The patient referred us with wheezing and cough since 1 month. A chest-abdominal computed tomography scan demonstrated a large diaphragmatic defect with liver and intestinal dislocation. The patient underwent surgical intervention with diaphragma...