ORIGINAL ARTICLE: PDF OnlySerpell Jonathan W. MB BS FRACS; Johnson, William R. MD BS, FRCS, FRACSThe Journal of Trauma: Injury, Infection, and Critical Care: March 1994 - p 421-423 Buy Abstract Intercostal hemias are rarely reported in the literature. We report a case of intercostal hernia secondary to a ruptured right hemidiaphragm and fractured costal margin caused by blunt trauma. The patient was ventilated at initial hospitalization because of rib fractures and advanced age the intercostal hernia was not evident. After physical rehabilitation treatment elsewhere, a painful chest wall bulge developed. A chest film and computed tomographic scan revealed the hernia. Surgery with a thoraco-abdominal incision in the line of the hernia allowed reduction of the hernial contents. © Williams & Wilkins 1994. All Rights Reserved.