Cough-induced Diaphragmatic and Abdominal Hernia in an Asthma Patient – A Case Report
DOI:
https://doi.org/10.21276/apjhs.2021.8.1.8Keywords:
Cough, Hernia, AsthmaAbstract
The list of complications of coughing is very long. Chronic cough as in asthma can affect every system in our body such as cardiovascular, gastrointestinal, neurological, musculoskeletal, and diaphragm. We report a case of 46-year-old male patient who was suffering from asthma for the past 15 years with occasional violent coughing. The X-ray of that patient was suggestive of pleural effusion which was misleading. A computed tomography scan of the thorax and the abdomen revealed the presence of diaphragmatic and abdominal hernia. The patient had no other history which can contribute to diaphragmatic injury except chronic cough. We found a chronic uncontrolled cough complicated with diaphragmatic and abdominal wall hernia.
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References
Irwin RS. Complications of cough: ACCP evidence-based clinical practice guidelines. Chest 2006;129:54S-8S.
Sloth-Neilson J, Jurik AG. Spontaneous intercostals pulmonary hernia with subsegmental incarceration. Eur J Cardiothoracic Surg 1989;3:562-4.
Derbes V, Haran T. Rib fractures from muscular effort with particular reference to cough. Surgery 1954;35:294-321.
Banyai A, Joannides M. Cough hazard. Chest 1956;29:52-61.
Kallay N, Crim L, Dunagan DP, Kavanagh PV, Meredith W, Haponik EF. Massive left diaphragmatic separation and rupture due to coughing during an asthma exacerbation. South Med J 2000;93:729-31.
George L, Rehman SU, Khan FA. Diaphragmatic rupture: a complication of violent cough. Chest 2000;117:1200-1.
Nakadi B, Vanderhoeft P. Effort rupture of the diaphragm. Thorax 1990;45:715.
Roberge RJ, Morgensten MJ, Osborn H. Cough fracture of the ribs. Am J Emerg Med 1984;2:513-7.
Yadav RK, Sukhija S. Morgagni hernia. Indian J Chest Dis Allied Sci 2001;43:163-4.
Vasquez J, Halasz NA, Chu P. Traumatic abdominal wall hernia caused by persistent cough. South Med J 1999;92:907-8.
Lord R. Factors predisposing to inguinal hernia: an analysis of 1,100 cases. Aust N Z J Surg 1968;37:377-81.
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Copyright (c) 2021 Somnath Das, Biplab Debbarma, Ankita Debnath, Pritha Das, Sumitra Basuthakur, Sukanta Sen
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