Abstract
Cough can be associated with many complications. In this article, we present a 59 year old male patient with a very rare combination of a cough related stress fracture of the ninth rib, a traumatic rupture of the diaphragm, and an abdominal wall herniation. The hernia was repaired through surgical treatment without bowel resection, the diaphragm and the internal and oblique abdominal muscle were adapted, and the abdomen was reinforced with a prolene net.Although each individual injury is well documented in the literature, the combination of rib fracture, abdominal herniation and diaphragm rupture has not been reported.
Highlights
A 59 year old male patient (86 kg; 1,75 m) collapsed at home following intensive coughing
Each individual injury is well documented in the literature, the combination of rib fracture, abdominal herniation and diaphragm rupture has not been reported
We report a rare case of a cough related stress fracture of the ninth rib, traumatic rupture of the diaphragm and abdominal herniation in a patient with a chronic cough history
Summary
A 59 year old male patient (86 kg; 1,75 m) collapsed at home following intensive coughing. Each individual injury is well documented in the literature, the combination of rib fracture, abdominal herniation and diaphragm rupture has not been reported. We report a rare case of a cough related stress fracture of the ninth rib, traumatic rupture of the diaphragm and abdominal herniation in a patient with a chronic cough history. A surrounding haematoma and hematothorax; no bowel herniation or muscle tear was evident (Fig. 1, 2).
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