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(Chest. 1995;107:877-879.)
© 1995 American College of Chest Physicians

Lung Herniation

A Cause of Chronic Chest Pain Following Thoracotomy

Anthony F. DiMarco MD, FCCP1; Oscar Oca MD2; and Jeffrey P. Renston MD, FCCP1

1 From the Department of Medicine, Metro Health Medical Center and Case Western Reserve University, Chardon, Ohio
2 From the Geauga Hospital, Chardon, Ohio

Chronic chest pain is a common complication following thoracotomy, which is generally attributed to intercostal neuritis or neuralgia. Response to medical treatment is poor. We report a case of persistent chest pain following open lung biopsy, which was found to result from lung herniation, a rare, but surgically correctable complication of thoracotomy. Since lung herniation may be easily overlooked, this disorder should be considered more often in the differential diagnosis of persistent postthoracotomy chest pain.

Key Words: pneumonia • intercostal neuralgia • intercostal muscle







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