Unique Case of an Idiopathic Transdiaphragmatic Intercostal Hernia (Most Probable Following Chronic Heavy Load Lifting)

Ganam S1,2*, Sujka J1,2, Salvatore D1,2, Bickel A3,4 and Kakiashvili E3,4

1University of South Florida Morsani College of Medicine, Florida, USA
2Division of Gastrointestinal Surgery, Tampa General Hospital, Florid, USA
3Department of Surgery A, Galilee Medical Center, Nahariya, Israel
4Department of Medicine, Galilee Bar Ilan University, Safed, Israel

^*Correspondance to: Samer Ganam 

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Abstract:

Transdiaphragmatic Intercostal Hernia (TDIH) is a rare condition. Most cases reported in the literature are a result of penetrating or severe blunt trauma. The management of TDIH can involve conservative treatment or surgical repair. Conservative treatment may be considered for elderly patients with comorbidities or asymptomatic patients. Surgical management typically involves reducing the contents of the hernia and effectively closing the defects, with or without the use of a mesh. In this case report, we present the case of a 75-year-old male who visited the outpatient surgery clinic complaining of a painful, reducible bulge in the right intercostal area. The patient had no history of previous trauma or intense coughing. Based on physical examination and the patient's complaints, he was diagnosed with an intercostal hernia. He underwent a successful double mesh repair of the intercostal hernia, along with primary repair of a large diaphragmatic defect. It has now been 6 months since the surgery, and there has been no recurrence of the hernia.

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Cite the Article:

Ganam S, Sujka J, Salvatore D, Bickel A, Kakiashvili E. A Unique Case of an Idiopathic Transdiaphragmatic Intercostal Hernia (Most Probable Following Chronic Heavy Load Lifting). Ann Clin Case Rep. 2023; 8: 2490..