{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:59:43Z","timestamp":1787504383940,"version":"build-2736575974"},"reference-count":6,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":1423,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pulmonary herniation is defined as protrusion of lung parenchyma through thoracic wall weakness. We present a case of a 69-year-old male who presented to a rural hospital with a 4-day history of cough, right-sided chest pain and exertional shortness of breath. His past medical history included right lung adenocarcinoma treated with right upper lobe lobectomy via video-assisted thorascopic surgery (VATS) 3 years prior. Chest inspection revealed decreased chest wall movements on the right side with no visible chest bulge and on palpation non-tender chest bilaterally with palpable crepitus of the right anterior chest. Chest expansion was reduced on the right side associated with hyper-resonant percussion. Auscultation revealed diffuse bilateral rhonchi. A CT of the chest showed herniation of the right lung through a post-operative defect in the thoracic wall. The patient was initiated on codeine linctus for cough suppression and remained haemodynamically stable for his 3-day admission. He remained asymptomatic at his 4-week follow up with complete resolution of surgical emphysema. We could find no other case reports of VATS lobectomy where lung herniation presented years after surgery.<\/jats:p>","DOI":"10.1071\/hc21004","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T04:08:14Z","timestamp":1625026094000},"page":"186-188","source":"Crossref","is-referenced-by-count":2,"title":["Pulmonary herniation 3 years after video-assisted thoracic surgery lobectomy"],"prefix":"10.1071","volume":"13","author":[{"given":"Jonathan","family":"West","sequence":"first","affiliation":[{"name":"ADepartment of Medicine, Whakatane hospital, PO BOX 241, Whakatane 3158, New Zealand."},{"name":"BCorresponding author. Email: jwest5334@aol.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hulett","sequence":"additional","affiliation":[{"name":"ADepartment of Medicine, Whakatane hospital, PO BOX 241, Whakatane 3158, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1390-3914","authenticated-orcid":true,"given":"Ankur","family":"Gupta","sequence":"additional","affiliation":[{"name":"ADepartment of Medicine, Whakatane hospital, PO BOX 241, Whakatane 3158, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2021,6,29]]},"reference":[{"issue":"4","key":"2025111813481146200_R1","doi-asserted-by":"publisher","first-page":"851.e5","DOI":"10.1016\/j.ajem.2019.11.025","article-title":"Spontaneous lung herniation after forceful coughing.","volume":"38","author":"Dahlkemper","year":"2020","journal-title":"Am J Emerg Med."},{"issue":"8","key":"2025111813481146200_R2","doi-asserted-by":"publisher","DOI":"10.1002\/rcr2.354","article-title":"Pulmonary hernia: Case report and review of the literature.","volume":"6","author":"Scelfo","year":"2018","journal-title":"Respirol Case Rep."},{"issue":"8","key":"2025111813481146200_R3","doi-asserted-by":"publisher","first-page":"4427","DOI":"10.21037\/jtd-20-1116","article-title":"Video-assisted thoracoscopy for lung cancer: who is the future of thoracic surgery?","volume":"12","author":"Jiang","year":"2020","journal-title":"J Thorac Dis."},{"issue":"1","key":"2025111813481146200_R4","doi-asserted-by":"publisher","first-page":"215","DOI":"10.5114\/wiitm.2019.87937","article-title":"A rare complication of video-assisted thoracoscopic surgery: lung herniation retrospective case series of three patients and review of the literature.","volume":"15","author":"Bat\u0131han","year":"2020","journal-title":"Videosurgery Miniinv."},{"issue":"5","key":"2025111813481146200_R5","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1016\/j.ejcts.2007.01.041","article-title":"Lung hernia after video-assisted thoracoscopic lobectomy clearly visualized by three-dimensional computed tomography.","volume":"31","author":"Ishibashi","year":"2007","journal-title":"Eur J Cardiothorac Surg."},{"issue":"4","key":"2025111813481146200_R6","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1097\/imi.0b013e3181f0076a","article-title":"Lung hernia after video-assisted thoracoscopic lobectomy.","volume":"5","author":"Johnson","year":"2010","journal-title":"Innovations."}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/13\/2\/186\/223274\/hc21004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/13\/2\/186\/223274\/hc21004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T18:48:17Z","timestamp":1763491697000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/13\/2\/186\/35019\/Pulmonary-herniation-3-years-after-video-assisted"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,29]]},"references-count":6,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,29]]},"published-print":{"date-parts":[[2021,6,30]]}},"URL":"https:\/\/doi.org\/10.1071\/hc21004","relation":{},"ISSN":["1172-6156"],"issn-type":[{"value":"1172-6156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,29]]}}}