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A Painful Sneeze: Spontaneous Thoracic Lung Herniation Induced by Vigorous Sneeze

Bhardwaj, Himanshu MD*; Bhardwaj, Bhaskar MBBS; Youness, Houssein A. MD*

Journal of Bronchology & Interventional Pulmonology: January 2014 - Volume 21 - Issue 1 - p 61–64
doi: 10.1097/LBR.0000000000000004
Case Reports

Lung herniation, defined as the protrusion of lung tissue outside the normal boundaries of thoracic cage, is an unusual event. This most commonly occurs as a consequence of thoracic trauma. Spontaneous subtypes of lung herniation are rare with only a few cases reported in medical literature. We present a 63-year-old male who presented with spontaneously herniated lung after an episode of vigorous sneezing. The possible underlying mechanisms, important physical examination and diagnostic imaging findings, and aspects of management considerations are briefly discussed.

*Department of Pulmonary Medicine & Critical Care, Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK

Department of Pulmonary Medicine and Tuberculosis, Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Disclosure: There is no conflict of interest or other disclosures.

Reprints: Himanshu Bhardwaj, MD, Department of Pulmonary Medicine & Critical Care, Internal Medicine, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP1310 Oklahoma City, OK 73190 (e-mail: himanshu-bhardwaj@ouhsc.edu).

Received April 24, 2013

Accepted August 26, 2013

© 2014 by Lippincott Williams & Wilkins.