Hereditary multiple exostoses of the ribs as an uncommon cause of pneumothorax: A case report. Issue 35 (August 2018)

• Record Type: Journal Article
• Authors: Dumazet, Antoine; Launois, Claire; Dury, Sandra; Sailhan, Frédéric; Alifano, Marco; Dewolf, Maxime; Lebargy, François; Deslee, Gaëtan; Perotin, Jeanne-Marie
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 35(2018)
• Publication Date: 2018-08
• Subjects: costal exostosis -- hereditary multiple exostoses -- pneumothorax -- VATS; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000011894
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Hereditary multiple exostoses (HME) is a genetic musculoskeletal condition causing multiple exostoses. Rib location of exostosis can be complicated by thoracic injuries. Patient concerns and diagnoses: We report a case of pneumothorax in a 32-year-old man with a partial left-sided pneumothorax caused by an exostosis of the fourth and fifth ribs. Interventions and outcomes: Clinical and radiological presentations allowed a conservative management. A video-assisted thoracoscopic surgery was performed a few weeks later to avoid any recurrence. Lessons: Rib exostosis represents an unusual cause of pneumothorax. Any local modification of symptoms or size of the exostosis should lead to investigations in regard to chondrosarcoma transformation.