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Sunday, 24 November 2019

CASE 574: THORACIC WALL HERNIA, Dr PHAN THANH HAI, Dr TRAN MINH DUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN  52 YO  3 MONTHS AGO,  PAIN AT L THORACIC NEAR  L BREAST NIPPLE   AFTER TRAUMA, COUGH MAKING VERY PAIN AND  L BREAST GETTING BIGGER LOOK LIKE TUMOR   (PHOTO 1: NORMAL BREATH, PHOTO 2  AFTER COUGHING and  VIDEO CLIP in COUGHING).








ULTRASOUND  AT  LEFT THORACIC WALL  DETECTED  ONE  MIXED STRUCTURE MASS  BY RUPTURE OF THE THORACIC WALL MUSCLE  WITH FLUID ( US 1).  



US 2: THE  HERNIA  OF THE LEFT LUNG TO THIS AREA IS SEEN  CLEARLY BY COUGHING , BUT IN NORMAL BREATH  THIS HERNIA IS COVERED BY HYPERECHOIC  STRUCTURE MASS ( US 3)




MSCT OF THE LUNG WITH VALSALVA  MANOEUVRE   DETECTED  INTERCOSTAL MUSCLE  RUPTURE AND  HERNIA FROM THE LUNG GOING OUT   ( CT1 CT2 CT3)



SUMMARY = THIS CASE IS THORACIC WALL HERNIA AFTER TRAUMA.  THE PATIENT HAD BEEN OPERATED FOR REPAIRING THE THORACIC WALL HERNIA BY PROTHESIS.

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