Transdiaphragmatic Intercostal Hernia Repair in a Patient with Previous Thoracic Surgery

A transdiaphragmatic intercostal hernia (TDIH) describes the herniation of abdominal contents through diaphragm and chest wall defects. It has been documented following traumatic injuries as well after episodes increased thoracoabdominal pressure. However, those resulting from iatrogenic cause remain uncommon are less often recorded. We report an TDIH in a patient presenting 39 days complicated thoracic procedure, highlighting surgical technique used for successful reduction, diaphragmatic closure, rib re-approximation. The case reinforces possibility occurring post-surgical complication. Surgeons should anticipate potential development TDIH, particularly procedures patients with significant pre-existing conditions, such chronic obstructive pulmonary disease (COPD) cirrhosis. Such clinical awareness be coupled apt corrective strategies thereby providing greater opportunity recovery.