This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (11)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

NATHAN M. FENICHEL, M.D.; BERNARD S. EPSTEIN, M.D.

AMA Arch Intern Med. 1955;96(6):747-751.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The gradual appearance of a soft bulging prominence in one or both supraclavicular areas sometimes arouses a patient's apprehension. On examination, this bulge is neither indurated nor tender, and no definite mass can be palpated. When the patient coughs, strains or performs the Valsalva maneuver, the swelling expands considerably and a gentle outward positive impulse becomes perceptible. The bulging is usually symmetric but occasionally is unequal. A history of chronic cough for many years often is elicted, and many of these patients are emphysematous. 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. Ninteen cases seen recently are reported here (Table). Nevertheless, references to this condition in the literature are meager, consisting mainly of individual case reports. Until 1946 only 185 cases . . . [Full Text PDF of this Article]

Author Affiliations
Brooklyn; New Hyde Park, N.Y.

From the Department of Medicine, Jewish Hospital of Brooklyn, and the Department of Radiology, The Long Island Jewish Hospital.

Footnotes
Submitted for publication June 23, 1955.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?