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Based on the literature review, it seems that the most common symptoms associated with spontaneous TDIH are pain, protrusion/swelling, and ecchymosis.
Definitive management of a TDIH is primarily surgical.
Spontaneous TDIH is a rare complication of sudden changes in diaphragmatic-peritoneal pressure gradient.
A Case of Spontaneous Transdiaphragmatic Intercostal Hernia with Contralateral Injury, and Review of the Literature
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