Periosteal chondroma of the rib possibly associated with hemothorax: a case report

Matsushima, Kazuhide; Matsuura, Kenji; Kayo, Munefumi; Gushimiyagi, Masanori

doi:10.1016/j.jpedsurg.2006.07.002

Cited by 10 publications

(5 citation statements)

References 8 publications

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“…O diagnóstico pré-operatório geralmente é difícil, sendo a maioria destes pacientes diagnosticados intraoperatóriamente. Nestes casos, a ressecção cirúrgica é indicada para estimular a costela mesmo na ausência de sintomas (9).…”

Section: Discussionunclassified

Condroma Periosteal de costela - Relato de caso

Pinto¹,

Nacif²

2022

BJHR

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Condromas periosteais são tumores cartilaginosos benignos incomuns, correspondentes a menos de 2% dos tumores ósseos. Embora sejam geralmente encontrados em homens entre a segunda e terceira décadas de vida, podem ocorrer em qualquer idade. Estas lesões desenvolvem-se adjacentes à superfície cortical do osso, abaixo da membrana periosteal, e possuem predileção pelas metáfises proximais ou metadiafises dos ossos tubulares longos, seguidos pelos pequenos ossos tubulares das mãos e dos pés. Ossos da pelve e costelas apresentam acometimento incomum. Exibem crescimento lento e geralmente são menores que 3,0 cm. Nenhuma transformação maligna, metástase ou múltiplas lesões foram relatadas na revisão de casos das referencias. O tratamento para um condroma periosteal é conservador quando assintomático. Caso seja sintomático, o tratamento mais efetivo é a ressecção em bloco.Condromas periosteais originários na costela são extremamente raros, com apenas 10 casos relatados na literatura inglesa. Neste relato, apresentamos um condroma periosteal de costela sintomático em mulher de 34 anos com massa em arco costal esquerdo, invadindo estruturas adjacentes, abordado com biópsia e posterior ressecção cirúrgica, sem necessidade de terapia adjuvante e seguimento ambulatorial sem intercorrências.

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Section: Discussionunclassified

Condroma Periosteal de costela - Relato de caso

Pinto¹,

Nacif²

2022

BJHR

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“…Cases of rib exostosis were surgically approached using different techniques. Minimally invasive thoracoscopic techniques are the preferred method for surgical management of patients with symptomatic costal osteochondromas, but mini-incision thoracotomy is needed depending on factors including dimension of the rib lesion and localization involving the rib [ 9 , 10 , 13 , 14 , 16 , 18 , 19 , 21 ]. In our case, costal osteochondroma was resected safely via limited thoracotomy with the aid of VAT.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanisms underlying diaphragmatic injury due to exostosis include direct force by a sharp bony spur or repetitive erosion by particularly pointed bony extrusions during respiratory movements. Injury to the diaphragm, pleura, heart, and lung have all been reported rarely [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21], and they could cause a lifethreatening condition if untreated timely. Most previous reports have also not addressed any significant traumatic event or impact prior to the occurrence of symptoms [7-10, 13-18, 21-23], including the case of our patient.…”

Section: Discussionmentioning

confidence: 99%

Hemothorax caused by costal exostosis injuring diaphragm: a case report and literature review

Pan

Wang

et al. 2022

J Cardiothorac Surg

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Background Osteochondromas, also known as exostoses, are the most common benign tumors of bone and can be classified into isolated and multiple osteochondromas. A great majority of osteochondromas is asymptomatic, painless, slow-growing mass, and incidentally found. However, osteochondromas occurring in adolescence or in adult patients can grow in size and become symptomatic as a result of mechanical irritation of the surrounding soft tissues or peripheral nerves, spinal cord compression, or vascular injury. Case presentation We present a case of a 13-year-old girl with spontaneous hemothorax, the cause of which was identified by limited thoracotomy with the aid of video-assisted thoracic surgery to be bleeding from a diaphragmatic laceration incurred by a costal exostosis on the left sixth rib. Preoperative chest computed tomography (CT) depicted a bony projection arising from the rib and bloody effusion in the intrathoracic cavity, but was unable to discern the bleeding cause from the lung or the diaphragm. This case will highlight our awareness that costal exostosis possibly results in bloody pleural effusion. Meanwhile, English literatures about solitary costal exostosis associated with hemothorax were searched in PubMed and nineteen case reports were obtained. Combined our present case with available literature, a comprehensive understanding of this rare disease entity will further be strengthened. Conclusions Injury to the diaphragm is the primary cause of hemothorax caused by costal osteochondroma, including the present case. Thoracic CT scan can help establish a diagnosis of preoperative diagnosis of costal osteochondroma. Surgical intervention should be considered for those patients with symptomatic osteochondroma of the rib. Combined with our case and literature, prophylactic surgical removal of intrathoracic exostosis should be advocated even in asymptomatic patients with the presentation of an inward bony spiculation.

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“…It may sometimes require emergent surgery 18 due to an associated complication such as damage to an intrathoracic organ (e.g. lung, pleura, pericardium, diaphragm) [15][16][17][18][19] . Some cases of evolution into chondrosarcoma have also been reported 20 .…”

Section: Introductionmentioning

confidence: 99%

An anusual case of spontaneous hemothorax in an adolescent affected by congenital exostosis: case report and literature review

Nicolini,

Bove,

Micera

et al. 2024

Preprint

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We present the case of a male adolescent with a haemothorax caused by pericardial rupture secondary to costal exostosis. The patient was affected by multiple congenital exostosis and six years earlier he underwent a bone spur resection of the right femur. An X-ray performed at presentation was interpreted as suggestive of pneumonia and the patient was therefore treated with antibiotics without any clinical improvement. A thoracic ultrasonography performed 7 days later showed a massive haemothorax, confirmed by a CT scan on which a pericardial lesion caused by the growth of three osteo-cartilagineous spurs originating from the 5th, 7th and 8th rib was detected. The boy underwent surgery and recovered completely. The thoracic ultrasound and the subsequent CT-scan performed on the patient due to his lack of clinical improvement directed us towards a rare disease that the X-ray had not helped diagnose; this entailed the prompt surgical resolution of a possibly severe, maybe even fatal, condition.

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Periosteal chondroma of the rib possibly associated with hemothorax: a case report

Cited by 10 publications

References 8 publications

Condroma Periosteal de costela - Relato de caso

Condroma Periosteal de costela - Relato de caso

Hemothorax caused by costal exostosis injuring diaphragm: a case report and literature review

An anusual case of spontaneous hemothorax in an adolescent affected by congenital exostosis: case report and literature review

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