Cough-induced abdominal intercostal hernia

Abstract

Cough-induced abdominal intercostal hernias are extremely rare, with only seven cases described in the literature. We report the case of a 55-year-old man with a painless right-sided abdominal lump, who had previously fractured a rib due to severe coughing. A chest X-ray was inconclusive, but ultrasound and computed tomography scans showed herniation of the liver between the seventh and eighth ribs on the right.