Primary abdominal intercostal hernia: Dream or clinical reality?
The term intercostal hernia (IH) refers to conditions where either the lung or abdominal viscera herniate through a defect in the intercostal space. Abdominal viscera can herniate through an intercostal space with (transdiaphragmatic IH) or without (abdominal IH) an associated diaphragm injury. Prim...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
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| Online Access: | https://doi.org/10.4103/ijawhs.ijawhs_91_24 |
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| author | Michela Zanatta Marcello Donati |
| author_facet | Michela Zanatta Marcello Donati |
| author_sort | Michela Zanatta |
| collection | DOAJ |
| description | The term intercostal hernia (IH) refers to conditions where either the lung or abdominal viscera herniate through a defect in the intercostal space. Abdominal viscera can herniate through an intercostal space with (transdiaphragmatic IH) or without (abdominal IH) an associated diaphragm injury. Primary IHs are extremely rare, with only one case previously described in the literature. Here, we present the second case of a primary spontaneous abdominal intercostal hernia reported in the literature. The computed tomography scan revealed no rib fractures or diaphragm injuries, but it did reveal that the patient had two extra lumbar ribs, with the hernial defect located between the 12th and 13th right rib. Primary spontaneous IHs are extremely rare, so it could be hypothesized that they might not truly exist as a distinct clinical entity, suggesting an unrecognized cause that would classify them as acquired hernias, such as an extra pair of ribs or congenital diseases. |
| format | Article |
| id | doaj-art-981a9ebbe38145ffac0324d2af9cf16a |
| institution | OA Journals |
| issn | 2589-8736 2589-8078 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj-art-981a9ebbe38145ffac0324d2af9cf16a2025-08-20T02:36:43ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782025-04-018214414610.4103/ijawhs.ijawhs_91_24Primary abdominal intercostal hernia: Dream or clinical reality?Michela ZanattaMarcello DonatiThe term intercostal hernia (IH) refers to conditions where either the lung or abdominal viscera herniate through a defect in the intercostal space. Abdominal viscera can herniate through an intercostal space with (transdiaphragmatic IH) or without (abdominal IH) an associated diaphragm injury. Primary IHs are extremely rare, with only one case previously described in the literature. Here, we present the second case of a primary spontaneous abdominal intercostal hernia reported in the literature. The computed tomography scan revealed no rib fractures or diaphragm injuries, but it did reveal that the patient had two extra lumbar ribs, with the hernial defect located between the 12th and 13th right rib. Primary spontaneous IHs are extremely rare, so it could be hypothesized that they might not truly exist as a distinct clinical entity, suggesting an unrecognized cause that would classify them as acquired hernias, such as an extra pair of ribs or congenital diseases.https://doi.org/10.4103/ijawhs.ijawhs_91_24abdominal intercostal herniasintercostal herniasuncommon hernias |
| spellingShingle | Michela Zanatta Marcello Donati Primary abdominal intercostal hernia: Dream or clinical reality? International Journal of Abdominal Wall and Hernia Surgery abdominal intercostal hernias intercostal hernias uncommon hernias |
| title | Primary abdominal intercostal hernia: Dream or clinical reality? |
| title_full | Primary abdominal intercostal hernia: Dream or clinical reality? |
| title_fullStr | Primary abdominal intercostal hernia: Dream or clinical reality? |
| title_full_unstemmed | Primary abdominal intercostal hernia: Dream or clinical reality? |
| title_short | Primary abdominal intercostal hernia: Dream or clinical reality? |
| title_sort | primary abdominal intercostal hernia dream or clinical reality |
| topic | abdominal intercostal hernias intercostal hernias uncommon hernias |
| url | https://doi.org/10.4103/ijawhs.ijawhs_91_24 |
| work_keys_str_mv | AT michelazanatta primaryabdominalintercostalherniadreamorclinicalreality AT marcellodonati primaryabdominalintercostalherniadreamorclinicalreality |