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Unusual Case of Pneumothorax Caused by Costal Osteochondroma

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DOI: 10.4236/ojts.2012.24022    3,598 Downloads   6,620 Views   Citations

ABSTRACT

Osteochondroma is the most common benign cartilage tumor. Although, most lesions are asymptomatic, life-threatening conditions caused osteochondromas have been reported in the literature such pneumothorax, hemothorax, diaphragmatic rupture, and lung injury. We report a case of a thirty year old male who presented with shortness of breath and was found to have a pneumothorax on chest X-ray. Subsequent Computed Tomography of the chest revealed a 1.3 cm growth on the posterior portion of the fourth right rib protruding into the right middle lobe. The patient underwent thoracoscopic resection of the lesion along with a wedge resection of the right middle lobe. The rib was reconstructed using a metal plate. He remains asymptomatic without recurrence on a one year follow up.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

R. Vemula, S. Shah and L. Willekes II, "Unusual Case of Pneumothorax Caused by Costal Osteochondroma," Open Journal of Thoracic Surgery, Vol. 2 No. 4, 2012, pp. 108-110. doi: 10.4236/ojts.2012.24022.

References

[1] V. Devita, S. Hellman, S. Rosenberg, et al., “Cancer Principles and Practice of Oncology,” 7th Edition, Lippincott Williams and Wilkens, New York, 2005, p. 1638.
[2] F. G. Pearson, J. Cooper, J. Deslauriers, et al., “Thoracic Surgery,” 2nd Edition, Churchill Livingstone, New York, 2002, p. 1340.
[3] A. Khosla and R. Parry, “Costal Osteochondroma Causing Pneumothorax in an Adolescent: A Case Report and Review of the Literature,” Journal of Pediatric Surgery, Vol. 45, No. 11, 2010, pp. 2250-2253. doi:10.1016/j.jpedsurg.2010.06.045
[4] W. Hajjar, Y. El-Medany, M. A. Essa, M. A. Rafay, M. H. Ashour and K. M. Al-Kattan, “Unusual Presentation of rib Exostosis,” The Annals of Thoracic Surgery, Vol. 75, No. 2, 2003, pp. 575-577. doi:10.1016/S0003-4975(02)04326-6
[5] D. A. Simansky, M. Paley, A. Werczberger, Y. B. Ziv and A. Yellin, “Exostosis of a Rib Causing Laceration of the Diaphragm: Diagnosis and Management,” The Annals of Thoracic Surgery, Vol. 63, No. 3, 1997, pp. 856-857. doi:10.1016/S0003-4975(96)01269-6
[6] W. Jin, S. Y. Syun, E. Ryoo, Y. S. Lim and J. K. Kim, “Costal Osteochondroma Presenting as Haemothorax and Diaphragmatic Laceration,” Pediatric Radiology, Vol. 35, No. 7, 2005, pp. 706-709. doi:10.1007/s00247-005-1407-9
[7] K. G. Buchan, V. Zamvar, K. M. Mandana, E. Nihal and P. Kulatilake, “Juxtacardiac Osterochondroma Presenting as Recurrent Haemothorax,” European Journal of Cardio- Thoracic Surgery, Vol. 20, No. 1, 2001, pp. 208-210. doi:10.1016/S1010-7940(01)00721-7
[8] G. Gulino, A. Di Martino, N. Papapietro, E. Taglieri and V. Denaro, “Rib Osteochondroma in the Adolescent: Case Report and Survey of Complications,” Journal of Orthopaedics and Traumatology, Vol. 5, No. 2, 2004, pp. 128- 131.
[9] A. Asmat and J. Tam, “Spontaneous Haemothorax from an Osteochondroma,” European Journal Cardio-Thoracic Surgery, Vol. 36, No. 2, 2009, pp. 394-396. doi:10.1016/j.ejcts.2009.04.039
[10] M. Alifano, M. Morcos, M. Thierry and J. Regnard, “An Unusual Case of Hiccup: Costal Exostosis. Treatment by Video-Assisted Thoracic Surgery,” European Journal Cardio-Thoracic Surgery, Vol. 23, No. 6, 2003, pp. 1056- 1058. doi:10.1016/S1010-7940(03)00082-4
[11] Y. Matsuno, Y. Mori, Y. Umeda and I. Takiya, “Thoracoscopic Resection for Costal Exostosis Presenting with Hemothorax in a Child,” European Journal of Pediatric Surgery, Vol. 19, No. 4, 2009, pp. 251-271. doi:10.1055/s-2008-1038884

  
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