{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:02:52Z","timestamp":1791525772857,"version":"4.3.4"},"reference-count":24,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,16]]},"abstract":"<jats:p>Acquired abdominal intercostal hernia (AAIH) is an infrequent occurrence whereby intra-abdominal contents herniate into intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. These hernias are difficult to diagnose and should always be suspected when a chest wall swelling occur after major or minor trauma. Surgical repair is warranted in symptomatic patients. The majority of AAIHs are repaired through an open approach using tension-free mesh, with significant recurrence risk. Recently, laparoscopic and robot-assisted repairs have been proposed. We discuss a 49-year-old man presented through outpatient setting with a 5-year history of ongoing left subcostal discomfort and a reducible lump. His history included a workplace accident 5\u2009years ago. Contrast-enhanced abdominal CT confirmed AAIH with omentum herniation into the sac. A successful laparoscopic repair with intraperitoneal onlay mesh technique using composite mesh was performed.<\/jats:p>","DOI":"10.1136\/bcr-2018-227158","type":"journal-article","created":{"date-parts":[[2018,11,3]],"date-time":"2018-11-03T07:15:33Z","timestamp":1541229333000},"page":"bcr-2018-227158","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Laparoscopic IPOM repair of an acquired abdominal intercostal hernia"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8298-7256","authenticated-orcid":false,"given":"Muhammad Qais","family":"Luqman","sequence":"first","affiliation":[{"name":"General Surgery, Mayo General Hospital, Castlebar, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afzaal","family":"Mughal","sequence":"additional","affiliation":[{"name":"General Surgery, Mayo General Hospital, Castlebar, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronan","family":"Waldron","sequence":"additional","affiliation":[{"name":"General Surgery, Mayo General Hospital, Castlebar, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal Z","family":"Khan","sequence":"additional","affiliation":[{"name":"General Surgery, Mayo General Hospital, Castlebar, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,3]]},"reference":[{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.1","first-page":"972","article-title":"[Intercostal transdiaphragmatic hernia]","volume":"56","author":"Pataro","year":"1969","journal-title":"Prensa Med Argent"},{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)00749-5"},{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.3","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0096-5588(20)31426-4","article-title":"Hernia of the lung","volume":"15","author":"Maurer","year":"1946","journal-title":"J Thorac Surg"},{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.4","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1177\/000313480106700708","article-title":"Complication of the retroperitoneal approach: intercostal abdominal hernia","volume":"67","author":"Best","year":"2001","journal-title":"Am Surg"},{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.5","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/00005373-199403000-00030","article-title":"Traumatic diaphragmatic hernia presenting as an intercostal hernia: case report","volume":"36","author":"Serpell","year":"1994","journal-title":"J Trauma"},{"key":"2025082701541583000_2018.nov01_1.bcr-2018-227158.6","first-page":"149","article-title":"[Abdominal intercostal hernia. 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