Cervical lung herniation of the azygous lobe: a case report and literature review.

IF 1.4 4区 医学 Q2 Medicine Surgical and Radiologic Anatomy Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI:10.1007/s00276-024-03444-4
Henry Huang, Jordan D Lemme, Juan E Small
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Abstract

Purpose: To report an adult case of cervical lung herniation involving the azygous lobe and to review the literature.

Methods: A trauma patient was incidentally found to have a cervical lung herniation involving the azygous lobe. We reviewed the literature on cervical lung herniation, described techniques used to diagnose and evaluate cervical lung herniations and summarized management options.

Results: Cervical lung herniation results in a defect in Sibson's fascia allowing the apical lung to protrude above the thoracic inlet. In the adult population, these are commonly seen after trauma or surgical intervention, but congenital forms have also been described in the pediatric population. Apical herniation of the lung can cause symptoms due to mass effect on the esophagus or trachea. We report an adult case of cervical lung herniation involving the azygous lobe.

Conclusion: Cervical lung herniation is a relatively rare entity compared to lung herniation through the rib cage. Knowledge of this entity is essential to properly evaluate trauma patients and to diagnose patients who have symptoms of cough, dysphagia or a bulging neck mass.

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颧叶颈型肺疝:病例报告和文献综述。
目的:报告一例成人颈肺疝累及颧叶的病例,并回顾相关文献:方法:偶然发现一名外伤患者的颈肺疝累及颧叶。我们回顾了有关颈肺疝的文献,描述了用于诊断和评估颈肺疝的技术,并总结了处理方案:结果:颈型肺疝导致西布森筋膜缺损,使肺尖突出于胸廓入口。在成人中,这种情况常见于外伤或手术治疗后,但在儿童中也有先天性肺疝的病例。肺尖部疝出会对食道或气管造成肿块影响,从而引起症状。我们报告了一例成人颈肺疝病例,病变累及颧叶:结论:与通过肋骨发生的肺疝相比,颈肺疝是一种相对罕见的疾病。了解这种情况对于正确评估外伤患者和诊断有咳嗽、吞咽困难或颈部肿块症状的患者至关重要。
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来源期刊
Surgical and Radiologic Anatomy
Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine
CiteScore
2.40
自引率
14.30%
发文量
0
期刊介绍: Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.
期刊最新文献
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