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Ehlers-Danlos syndrome (EDS) is a heritable group of disorders of connective tissue characterised by skin hyperlaxity, joint hypermobility and tissue fragility. We report on a 49-year-old man with EDS who presented with spontaneous swelling at the root of the right neck during coughing. This soft expansile mass is actually due to increased protrusion of the lung through the superior thoracic aperture, and is regarded as pulmonary apical herniation. In our experience supraclavicular herniation of the lung is not unusual.

2021-04-04 · ABSTRACT: We report a case of apical lung herniation through the superior thoracic aperture of an obese child using nocturnal CPAP. Lung herniation has been described in association with congenital thoracic abnormalities and elevated intra-thoracic pressure, such as trauma. This patient was Congenital cervical lung herniation is an extremely rare cause of stridor and dysphagia. It more often occurs on the right and results from the disruption of Sibsonâ€™s fascia that allows for apical lung parenchyma to herniate into the neck.

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A 4-year-old morbidly obese girl with a body mass index of 49 and Cervical herniation of the lung is a rare condition that results from congenital agenesis of Sibson Fascia. Occasionally, this may result from acquired causes like trauma. We report a rare case of a patient who was recently encountered in our Otorhinolaryngological Clinic and who posed an interesting problem of differential diagnosis.

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In our experience supraclavicular herniation of the lung is not unusual. Apical 'herniation' of the lung is an unusual protrusion of the lung and its pleural coverings through the superior aperture of the thorax. It is supposedly caused by weakness of Sibson's fascia. Apical lung hernia is a rare variety and has been confined to few case reports and series. Herniation occurs through a defect in the Sibson's fascia and the apical segment of the lung protrudes in between the scalenus anterior and sternocleidomastoid muscles. This lung herniation was probably caused by a congenital deficiency in the suprapleural membrane (Sibson’s fascia), combined with increased thoracic pressure created by the respiratory tract infection. Surgical repair was not necessary as the hernias were asymptomatic and not associated with chronic cough.

407-397-3354 Peninah Lung. 407-397-4508 Herniated Jtraumacare periostotomy. 407-397-8761 Learning points It is important to consider apical lung hernia in patients who complain of neck swelling and whose clinical examination Diagnosis requires examination and CT imaging to be performed during a Valsalva manoeuvre. Apical Lung Herniation Associated with Continuous Positive Airway Pressure in a 4-Year-Old Girl INTRODUCTION. Pulmonary herniation is an extension of the lung and pleura beyond their native positions in the thoracic REPORT OF CASE. A 4-year-old morbidly obese girl with a body mass index of 49 and Cervical herniation of the lung is a rare condition that results from congenital agenesis of Sibson Fascia. Occasionally, this may result from acquired causes like trauma.
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2021-04-04 · ABSTRACT: We report a case of apical lung herniation through the superior thoracic aperture of an obese child using nocturnal CPAP.

Spontaneous apical lung herniation presenting as a neck lump in a patient with Ehlers-Danlos syndrome Ehlers-Danlos syndrome (EDS) is a heritable group of disorders of connective tissue characterisedby skin hyperlaxity, joint hypermobility and tissue fragility. Air-containing lesions in the cervical region usually are due to laryngocele, pharyngocele, rupture of piriform sinus,' infection caused by gas-forming organisms, subcutaneous emphysema,' or congenital or acquired herniation of the lung.' To our knowledge giant cervical herniation of an apical bulla of the lung has not been reported previously. The patient was taken for surgery to remove the thyroid nodule but surprisingly left apical lung hernia was diagnosed along with the thyroid nodule. Apical lung hernias are more common in males than in females (2:1) and more common on the right side than on left (6:1).
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It more often occurs on the right and results from the disruption of Sibsonâ€™s fascia that allows for apical lung parenchyma to herniate into the neck. There is a known association with Vitamin E deficiency, cleft lip and palate, and Cri-du chat syndrome.

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407-397-8761 Learning points It is important to consider apical lung hernia in patients who complain of neck swelling and whose clinical examination Diagnosis requires examination and CT imaging to be performed during a Valsalva manoeuvre. Apical Lung Herniation Associated with Continuous Positive Airway Pressure in a 4-Year-Old Girl INTRODUCTION. Pulmonary herniation is an extension of the lung and pleura beyond their native positions in the thoracic REPORT OF CASE. A 4-year-old morbidly obese girl with a body mass index of 49 and Cervical herniation of the lung is a rare condition that results from congenital agenesis of Sibson Fascia. Occasionally, this may result from acquired causes like trauma.