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(Chest. 1943;9:166-168.)
© 1943 American College of Chest Physicians

Giant Mediastinal Hernia in the Course of Bilateral Pneumothorax

R. SANCHEZ ACOSTA M.D.1 and P. DIAZ JUAN M.D.1

1 Staff of "La Esperanza Sanatorium," Havana, Cuba

A case is reported of giant mediastinal hernia, caused by aspiration of the mediastinum into left hemithorax. This condition was apparently induced by lack of re-expansion of the left lung in a patient with bilateral pneumothorax.

The hernial pouch came in contact with the left thoracic wall, simulating in appearance a pulmonary lobe.

In attempting to insufflate the left pleural sac, the hernial pouch was punctured and air passed into the right pleura as evidenced by an increased collapse of the corresponding lung. This enormous mediastinal hernia did not give rise to any untoward symptoms.

Successful introduction of air into the left pleural sac caused the hernia to disappear, and complete collapse of the left lung was obtained.






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Copyright © 1943 by the American College of Chest Physicians.