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Chest, Vol 75, 382-383, Copyright © 1979 by American College of Chest Physicians

ARTICLES

Mediastinal herniation of the pleural sac: occurrence in massive pleural effusion

M Sukumaran and HW Berger

In a review of 50 patients with massive pleural effusion, mediastinal herniation of the pleural sac occurred in 16 patients (32 percent). Right-to-left herniation (ten patients) was more common than left-to- right (six patients). Herniation occurred only in the posteroinferior mediastinum (D5-D11). Fourteen patients had displacement of the mediastinum away from the side of pleural effusion. Disappearance of herniated sac in every patient following thoracocentesis confirmed the diagnosis.




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Copyright © 1979 by the American College of Chest Physicians.