{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T02:45:06Z","timestamp":1769913906951,"version":"3.49.0"},"reference-count":24,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,12,23]]},"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Spontaneous transdiaphragmatic intercostal hernia is an extremely rare clinical entity featuring dual defects in the diaphragm and chest wall. We report on the case of a 59-year-old man who developed a large left-sided hernia secondary to the minor trauma of a coughing fit. The hernia subsequently enlarged over the course of 3\u2009years until it contained the stomach, leading to a gastric volvulus and tension gastrothorax with secondary pneumothorax. A subtotal gastrectomy was performed with Roux-en-Y reconstruction, and he made a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2021-246832","type":"journal-article","created":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T10:49:39Z","timestamp":1642416579000},"page":"e246832","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Gastric volvulus and tension gastrothorax secondary to spontaneous transdiaphragmatic intercostal hernia"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1286-3132","authenticated-orcid":false,"given":"Simon","family":"Bennet","sequence":"first","affiliation":[{"name":"Surgery, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Wang","sequence":"additional","affiliation":[{"name":"Radiology, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3469-7390","authenticated-orcid":false,"given":"Calista","family":"Spiro","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chek","family":"Tog","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"2025082712314748000_15.1.e246832.1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1177\/000313480807400416","article-title":"Disruption of the costal margin with transdiaphragmatic abdominal herniation induced by coughing","volume":"74","author":"Chaar","year":"2008","journal-title":"Am Surg"},{"key":"2025082712314748000_15.1.e246832.2","article-title":"A case of spontaneous transdiaphragmatic intercostal hernia with contralateral injury, and review of the literature","volume":"2017","author":"Chapman","year":"2017","journal-title":"Case Rep Surg"},{"key":"2025082712314748000_15.1.e246832.3","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1007\/s10029-020-02194-7","article-title":"Primary thoracoabdominal hernias","volume":"25","author":"Alayon-Rosario","year":"2021","journal-title":"Hernia"},{"key":"2025082712314748000_15.1.e246832.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.05.040"},{"key":"2025082712314748000_15.1.e246832.5","doi-asserted-by":"publisher","DOI":"10.1258\/shorts.2009.090026"},{"key":"2025082712314748000_15.1.e246832.6","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s10029-010-0721-9","article-title":"A large abdominal intercostal hernia in a patient with vascular type Ehlers-Danlos syndrome: a surgical challenge","volume":"16","author":"de Weerd","year":"2012","journal-title":"Hernia"},{"key":"2025082712314748000_15.1.e246832.7","doi-asserted-by":"crossref","first-page":"106","DOI":"10.4103\/2006-8808.128754","article-title":"Clinicoradiological diagnosis of cough-induced intercostal hernia","volume":"5","author":"Dobradin","year":"2013","journal-title":"J Surg Tech Case Rep"},{"key":"2025082712314748000_15.1.e246832.8","first-page":"1190","volume-title":"Spontaneous but delayed case of transdiaphragmatic intercostal hernia","volume":"90","author":"Fleischl","year":"2020"},{"key":"2025082712314748000_15.1.e246832.9","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1111\/ans.15547","article-title":"Acquired transdiaphragmatic intercostal hernia in a patient with recent pneumonia: surgical management with a thoracoabdominal approach","volume":"90","author":"Gori","year":"2020","journal-title":"ANZ J Surg"},{"key":"2025082712314748000_15.1.e246832.10","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1111\/j.1445-2197.2012.06264.x","article-title":"Unusually complicated chest infection: colon containing intercostal hernia","volume":"82","author":"Gundara","year":"2012","journal-title":"ANZ J Surg"},{"key":"2025082712314748000_15.1.e246832.11","doi-asserted-by":"crossref","unstructured":"Henriques AC , Malena CR , Freitas ACO . H\u00e9rnia intercostal transdiafragm\u00e1tica ap\u00f3s fratura espont\u00e2nea de costelas secund\u00e1ria crise de tosse \/ transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit. 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