Osteoid osteoma of the rib masquerading as pain due to trauma: Removed by rib resection using preoperative CT-scan guidance. (February 2023)

• Record Type: Journal Article
• Authors: Tos, Salem M.; Jobran, Afnan W.M.; Alasafrah, Anas; Natsheh, Motaz; Asbeh, Yousef Abu
• Is Part Of: International journal of surgery case reports. Volume 103(2023)
• Publication Date: 2023-02
• Subjects: Osteoid osteoma -- Trauma -- Bone tumor -- NSAID; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2023.107877
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Osteoid osteomas (OO) are benign bone tumors that are prevalent in young adults. The typical clinical picture of the disease is pain that worsens at night, which may be alleviated by Non-Steroidal Anti Inflammatory Drugs (NSAIDs). The most common imaging finding of OO is a lytic lesion, known as a nidus, with variable intralesional mineralization, accompanied by bone sclerosis, cortical thickening and surrounding bone marrow edema, as well as marked post-contrast enhancement. The most commonly affected sites are the long bones of the lower limbs, but the ribs are rarely reported sites. The present study describes a case of osteoid osteomas located in the rib which was removed by rib resection using CT-scan guidance. Highlights: Osteoid osteoma (OO) is a benign bone tumor and the most commonly affected sites are the long bones of the lower limbs, but the ribs are rarely involved. Careful history taking, meticulous physical examination, and investigations are necessary. Prompt treatment should be addressed in a proper way to stabilize the patient and avoid mortality.