{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:45:09Z","timestamp":1785408309041,"version":"3.56.0"},"reference-count":9,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,2]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>A 70-year-old asthmatic man presented with a history of chronic intermittent left-sided chest pains and a bulge-like deformity of his chest which became more prominent with expiration. He sustained a traumatic fall 2 years prior whereby he fractured his right humerus at the surgical neck, requiring total arthroplasty. Examination and CT imaging of the thorax revealed a left costal arch fracture with hemidiaphragm rupture and associated transperitoneal fat herniation. He underwent left thoracolaparotomy with costal arch and diaphragmatic hernia repair. He was discharged 48 hours postoperatively and is satisfied with good outcomes under initial follow-up. This case report highlights the surgical management of a condition that usually presents late after significant trauma and may progress to visceral strangulation if untreated.<\/jats:p>","DOI":"10.1136\/bcr-2021-247189","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T12:17:34Z","timestamp":1638274654000},"page":"e247189","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Abdominal intercostal hernia and costal arch repair"],"prefix":"10.1136","volume":"14","author":[{"given":"Jacob","family":"Moneim","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"2025082707281351000_14.11.e247189.1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s10029-010-0717-5","article-title":"Spontaneous transdiaphragmatic intercostal hernia: a rare clinical entity","volume":"16","author":"Aggarwal","year":"2012","journal-title":"Hernia"},{"key":"2025082707281351000_14.11.e247189.2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s10029-014-1232-x","article-title":"Acquired abdominal intercostal hernia: case report and systematic review of the literature","volume":"18","author":"Erdas","year":"2014","journal-title":"Hernia"},{"key":"2025082707281351000_14.11.e247189.3","first-page":"1","article-title":"Acquired abdominal intercostal hernia: a case report and literature review","volume":"2014","author":"Abunnaja","year":"2014","journal-title":"Case Rep Surg"},{"key":"2025082707281351000_14.11.e247189.4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1749-7922-7-23","article-title":"Strangulated intercostal liver herniation subsequent to blunt trauma: first report with review of the world literature","volume":"7","author":"Bendinelli","year":"2012","journal-title":"World J Emerg Surg"},{"key":"2025082707281351000_14.11.e247189.5","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-227158","article-title":"Laparoscopic IPOM repair of an acquired abdominal intercostal hernia","volume":"2018","author":"Luqman","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082707281351000_14.11.e247189.6","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-4-32"},{"key":"2025082707281351000_14.11.e247189.7","doi-asserted-by":"publisher","DOI":"10.4076\/1757-1626-2-7524"},{"key":"2025082707281351000_14.11.e247189.8","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/00129689-200608000-00017","article-title":"Laparoscopic repair of abdominal intercostal hernia: a case report and review of the literature","volume":"16","author":"Kurer","year":"2006","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082707281351000_14.11.e247189.9","doi-asserted-by":"crossref","first-page":"444","DOI":"10.9738\/INTSURG-D-13-00272.1","article-title":"Posttraumatic transdiaphragmatic intercostal hernia: report of a case and review of the literature","volume":"100","author":"Kalles","year":"2015","journal-title":"Int Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:28:25Z","timestamp":1756304905000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,30]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-247189"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247189","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}