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Journal of Case Reports
Challenging Case of an Acquired Abdominal Intercostal Hernia (AAIH) after Transdiaphragmatic Intercostal Hernia (TIH) Surgery
Riccardo Manfredo Campaner, Giulia Mac Dermott, Jean-Claude Renggli
Department of Surgery, Hôpital Neuchâtelois, Rue de Chasseral 20, 2300 La Chaux-de-Fonds, Switzerland. 
Corresponding Author:
Dr. Riccardo Manfredo Campaner
Email: riccardo.manfredo@gmail.com
Received: 22-DEC-2018 Accepted: 24-JAN-2019 Published Online: 05-FEB-2019
DOI: http://dx.doi.org/10.17659/01.2019.0007
Background: Both acquired abdominal inter-costal hernia and trans-diaphragmatic intercostal hernias are rare clinical entities characterized by the protrusion of intra-abdominal contents or lung through a defect in an inter-costal space. Case Report: We report a rare case of inter-costal abdominal hernia in a 73-year-old patient who had already previously undergone trans-diaphragmatic inter-costal hernia surgery after a cough-induced fracture of the right costal margin associated with rib separation and subsequent abdominal visceral protrusion through inter-costal space. Conclusion: However rare, inter-costal hernias must be suspected when patients present with palpable chest swelling after trauma. CT is the elective technique to perform diagnosis and identify the presence of co-existing diaphragmatic defects or intra-abdominal lesions. Surgical repair is the treatment of choice, possibly using tension-free mesh repair. The recurrence rate is high, whichever technique is chosen. 
Keywords : Abdomen, Abdominal Hernia, Diaphragmatic Hernia, Liver, Ribs, Computed Tomography.
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