Cough-induced Diaphragmatic and Abdominal Hernia in an Asthma Patient – A Case Report

The list of complications of coughing is very long. Chronic cough as in asthma can affect every system in our body such as cardiovascular, gastrointestinal, neurological, musculoskeletal, and diaphragm. We report a case of 46-year-old male patient who was suffering from asthma for the past 15 years with occasional violent coughing. The X-ray of that patient was suggestive of pleural effusion which was misleading. A computed tomography scan of the thorax and the abdomen revealed the presence of diaphragmatic and abdominal hernia. The patient had no other history which can contribute to diaphragmatic injury except chronic cough. We found a chronic uncontrolled cough complicated with diaphragmatic and abdominal wall hernia.