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The patient presented himself to the emergency department of our hospital with a complaint of severe pain in the right hemithorax, dyspnea, and diffuse cutaneous and subcutaneous haematoma in the inferior part of the right hemithoracic region. The patient underwent right-side video-assisted thoracic surgery on the second day to evacuate the haematothorax. Thoracic wall repair was achieved using a sandwich technique with a sublay reinforced with pericostal sutures and onlay insertion of bovine pericardium mesh.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa303","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T19:11:28Z","timestamp":1594926688000},"source":"Crossref","is-referenced-by-count":1,"title":["Lung herniation through the thoracic wall after persistent sneezing and coughing in an obesity and COPD Patient"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4766-0669","authenticated-orcid":false,"given":"Mohammed","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Bayreuth Hospital, Bayreuth, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"Linsmeier","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Bayreuth Hospital, Bayreuth, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,5]]},"reference":[{"key":"2020090512022468100_ref1","first-page":"e399","article-title":"Spontaneous intercostal lung hernia","volume":"130","author":"Maeda","year":"2017","journal-title":"Am J Med"},{"key":"2020090512022468100_ref2","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1055\/s-2007-1010219","article-title":"Chronic herniation of the lung in a patient with chronic obstructive pulmonary disease","volume":"46","author":"Goverde","year":"1998","journal-title":"Thorac Cardiovasc Surg"},{"key":"2020090512022468100_ref3","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/S0022-5223(00)70103-6","article-title":"Spontaneous anterior thoracic lung hernias","volume":"119","author":"Brock","year":"2000","journal-title":"J Thoracic Cardiovas Surg"},{"key":"2020090512022468100_ref4","doi-asserted-by":"crossref","first-page":"e233","DOI":"10.1093\/milmed\/usx063","article-title":"Spontananeous Lung herniation through the chest wall","volume":"183","author":"Cox","year":"2018","journal-title":"Military Med"},{"key":"2020090512022468100_ref5","first-page":"e119","article-title":"Spontaneous pulmonary hernia: a case report","volume":"58","author":"G\u00f3mez","year":"2013","journal-title":"Respiratory Care"},{"key":"2020090512022468100_ref6","first-page":"256","article-title":"Acute respiratory failure caused by spontaneous herniation of the lung","volume":"10","author":"Shankar","year":"2010","journal-title":"Ochsner J"},{"key":"2020090512022468100_ref7","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/S0003-4975(98)00035-6","article-title":"Video-assisted repair of a traumatic intercostal pulmonary hernia","volume":"65","author":"Reardon","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"2020090512022468100_ref8","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1016\/j.athoracsur.2012.11.024","article-title":"Chest Wall reconstruction using Biomateria","volume":"95","author":"Miller","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2020090512022468100_ref9","doi-asserted-by":"publisher","first-page":"166","DOI":"10.5761\/atcs.cr.11.01718","article-title":"Chest wall reconstruction using gore-Tex\u00ae dual mesh","volume":"18","author":"Akiba","year":"2012","journal-title":"Ann Thorac Cardiovasc Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/9\/rjaa303\/33719164\/rjaa303.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/9\/rjaa303\/33719164\/rjaa303.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,5]],"date-time":"2020-09-05T16:02:33Z","timestamp":1599321753000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa303\/5901958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa303","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,9]]},"published":{"date-parts":[[2020,9,1]]},"article-number":"rjaa303"}}