Case Report
 
Pediatric traumatic pulmonary herniation: A case report
Robert Vezzetti1, Peter Cosgrove2, Julie Sanchez3, Gael Lonergan4
1MD, FAAP, FACEP, Attending Physician, Pediatric Emergency Medicine, Department of Emergency Medicine, UT Austin Medical School at Dell Children's Medical Center of Central Texas, 4900 Mueller Blvd, Austin, TX 78723.
2MD, Pediatric Resident, Department of Pediatrics, UT Austin Medical School at Dell Children's Medical School of Central Texas, 4900 Mueller Blvd, Austin, TX 78723.
3MD, FACS, Attending Physician, Pediatric Surgery, Department of Surgery, UT Austin Medical School at Dell Children's Medical Center of Central Texas, 4900 Mueller Blvd, Austin, TX 78723.
4MD, Gael Lonergan, MD, Attending Physician, Pediatric Radiology, Department Of Radiology, UT Austin Medical School at Dell Children's Medical Center of Central Texas, 4900 Mueller Blvd, Austin, TX 78723.

Article ID: Z01201604CR10629RV
doi:10.5348/ijcri-201641-CR-10629

Address correspondence to:
Robert Vezzetti
Department of Emergency Medicine
Dell Children's Medical Center of Central Texas
4900 Mueller Blvd
Austin, TX 78723

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How to cite this article
Vezzetti R, Cosgrove P, Sanchez J, Lonergan G. Pediatric traumatic pulmonary herniation: A case report. Int J Case Rep Imag 2016;7(4):240–244.


Abstract
Introduction: Blunt thoracic trauma is not common in the pediatric population and usually results in pulmonary contusion, but other injuries may be present, especially in the presence of rib fractures.
Case Report: We describe a case of blunt thoracic trauma that was complicated by rib fractures and associated lung herniation, which is a rare complication of such an injury. Imaging modalities as well as repair options are discussed.
Conclusion: Thoracic trauma in children, while rare, can be associated with significant injury. Often, associated clinical symptoms may be subtle in children, making detection difficult. Recognition of injuries associated with non-penetrating thoracic trauma is critical to ensure proper treatment and recovery in children.

Keywords: Lung herniation, Pediatrics, Thoracic injury, VATS


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Author Contributions
Robert Vezzetti – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Peter Cosgrove – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Julie Sanchez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gael Lonergan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Robert Vezzetti et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.