Skip to main content

Advertisement

SpringerLink
Log in

Lung evisceration following penetrating chest trauma

  • Case report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Lung herniation refers to the protrusion of the lung through the chest wall, usually covered by skin or pleura. This has a more common and less dramatic presentation when compared to lung evisceration which is the extrusion of the lung outside the chest with neither pleural sac nor skin coverage. We describe our experience with lung evisceration and discuss the mechanisms and pathophysiology surrounding these presentations. A management approach to avoid morbidity and mortality is suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Stedman TL. Stedman’s medical dictionary for the health professions and nursing. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.

    Google Scholar 

  2. Moncada R, Vade A, Gimenez C, Rosado W, Demos TC, Turbin R, Venta L. Congenital and acquired lung hernias. J Thorac Imaging. 1996;11:75–82.

    Article  CAS  PubMed  Google Scholar 

  3. Menenakos E, Alexakis N, Leandros E, Laskaratos G, Nikiteas N, Bramis J, Fingerhut A. Fatal chest injury with lung evisceration during athletic games in ancient Greece. World J Surg. 2005;29:1348–51.

    Article  PubMed  Google Scholar 

  4. Bowley DMG, Boffard KD. Penetrating lung hernia with pulmonary evisceration: case report. J Trauma. 2001;50:560–1.

    Article  CAS  PubMed  Google Scholar 

  5. Lang-Lazdunski L, Bonnet PM, Pons F, Brinquin L, Jancovici R. Traumatic Extrathoracic lung Herniation. Ann Thorac Surg. 2002;74:927–9.

    Article  PubMed  Google Scholar 

  6. de Leo S, Patriti A, Boselli C. Traumatic evisceration of the lung without Pneumothorax. Eur J Trauma. 2004;30:262–4.

    Article  Google Scholar 

  7. Toral RG, Moscoso ET, Ligonio BM. Successful delayed repair of lung evisceration secondary to stab wound. Enero-Marzo. 2008;21:35–7.

    Google Scholar 

  8. David JS, Tassin C, Maury JM. Post-Traumatic pulmonary hernia. Thorax. 2013;68:982.

    Article  PubMed  Google Scholar 

  9. Moore KL, Dalley AF. Clinically orientated Anatomy. 4th ed. Kelly PJ, editor. Baltimore: Lippincott Williams & Wilkins; 1999.

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, King Edward VIII Hospital, Durban, South Africa

    Suman Mewa Kinoo, Shenaaz Banu Ismail, Ruvashni Naidoo & Bhugwan Singh

  2. Nelson R Mandela School of Medicine, Department of Surgery, University of KwaZulu Natal, 719 Umbilo Road, Congella, Durban, South Africa

    Suman Mewa Kinoo, Shenaaz Banu Ismail, Ruvashni Naidoo & Bhugwan Singh

  3. Department of Surgery, Nelson Mandela Academic Hospital, Mthatha, South Africa

    Adupa Dhaffala

  4. Department of Surgery, Walter Sisulu University, Eastern Cape, Mthatha, South Africa

    Adupa Dhaffala

Authors
  1. Suman Mewa Kinoo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shenaaz Banu Ismail
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ruvashni Naidoo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Adupa Dhaffala
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Bhugwan Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed equally to the write up of this case report.

Corresponding author

Correspondence to Suman Mewa Kinoo.

Ethics declarations

No funding was required for the write up of this manuscript. No ethical approval was required as no experimental work was carried out on the patients. Informed consent was obtained from all individual participants included in the case report. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Conflict of interest

The authors declare that they have no conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mewa Kinoo, S., Ismail, S.B., Naidoo, R. et al. Lung evisceration following penetrating chest trauma. Indian J Thorac Cardiovasc Surg 33, 347–350 (2017). https://doi.org/10.1007/s12055-017-0501-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-017-0501-6

Keywords

Search

Navigation