Multiple Rib Exostoses in a Boy: A Rare CaseResulting in Surgery Secondary to Cosmetic Concerns

Document Type : CASE REPORT

Authors

1 Department of Thoracic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

A seven year-old boy with several painless masses on the ribs and shoulder was referred to our hospital. The masses were so prominent that they prevented the child’s sleep. Since the patient had been ridiculed by his friends due to the rib prominences, he had refused to attend school. After clinical and radiological evaluations, the masses were diagnosed as hereditary multiple exostoses of the shoulder and ribs. He underwent surgery for cosmetic reasons resulting in the patient’s return to a normal life.

Keywords


  1. Ryckx A, Somers JF, Allaert L. Hereditary multiple exostosis. Acta Orthop Belg. 2013;79(6):597-607.

  2. Pierz KA, Stieber JR, Kusumi K, Dormans JP. Hereditary multiple exostoses: one center’s experience and review of etiology. Clin Orthop Relat Res. 2002; 401:49-59.

  3. Buchan KG, Zamvar V, Mandana KM, Nihal E, Kulatilake P. Juxtacardiac costal osteochondroma presenting as recurrent haemothorax. Eur J Cardiothorac Surg. 2001;20(1):208-10.

  4. Cowles RA, Rowe DH, Arkovitz MS. Hereditary multiple exostoses of the ribs: an unusual cause of hemothorax and pericardial effusion. J Pediatr Surg. 2005; 40(7):1197-200.

  5. Huang L, Lu Q, Yan X, Han Y. A 5-year-old Boy with a Large Hereditary Multiple Exostoses Lump Grown into Thoracic Cavity. Ann Thorac Cardiovasc Surg. 2013 Jan 31.

  6. Liu W, Kong D, Tang J, Yu F. Giant costal osteochondroma in a man with multiple exostoses. Ann Thorac Surg. 2013; 96(2):675-7.

  7. Simansky DA, Paley M, Werczberger A, Bar Ziv Y, Yellin A. Exostosis of a rib causing laceration of the diaphragm: diagnosis and management. Ann Thorac Surg. 1997; 63(3):856-7.

  8. Takata K, Suzuki K, Kurosaki Y. Spontaneous hemothorax in hereditary multiple exostosis involving the ribs. Radiat Med. 2008; 26(1):39-41.

  9. Tomares SM, Jabra AA, Conrad CK, Beauchamp N, Phoon CK, Carroll JL. Hemothorax in a child as a result of costal exostosis. Pediatrics. 1994; 93(3):523-5.