The present case reports on a聽53-year-old patient with severe chronic obstructive pulmonary disease (COPD) and acute pneumonia who complained of massive right-sided chest pain and hemoptysis after a聽severe coughing fit. To the authors' great surprise, further clinical and radiological investigations revealed a聽rupture of the right intercostal muscles caused by the coughing fit, with herniation of parts of the right lower lobe of the lung down to the subcutaneous and below the M.聽latissimus dorsi. The patient was presented to the colleagues in thoracic surgery and needed to be operated twice, finally with a聽mesh insert.
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