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Post-traumatic intercostal and diaphragm hernias following a sneezing episode
  1. Jesse K Kelley1,
  2. Ben E Biesterveld2,
  3. Peter T White3 and
  4. Gary A Vercruysee2
  1. 1 Medical School, University of Michigan, Ann Arbor, Michigan, USA
  2. 2 Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA
  3. 3 Department of Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  1. Correspondence to Dr Ben E Biesterveld, bbiester{at}


Trauma and sneeze-induced or cough-induced intercostal and diaphragm hernias are both rare phenomena, especially in combination. Management of these hernias is not well described, and there is no good evidence to guide operative management. Here we describe a rare presentation of coexisting intercostal and diaphragm hernias and surgical management with primary repair via a thoracotomy.

  • surgery
  • cardiothoracic surgery
  • orthopaedic and trauma surgery
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  • Contributors JKK contributed to the literature review and the drafting of the manuscript. BEB, PTW and GAV contributed to literature review and the drafting of the manuscript, in addition to providing clinical care and being the surgeons responsible for the described patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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