Abstract
Costal osteochondroma is a rare but important condition to recognize because of the
possibility of serious consequences if not diagnosed and treated promptly. Patients
can present with numerous complications, including hemothorax, pneumothorax, nervous
or vascular impingement, and fracture. We report the case of a 17-year-old adolescent
boy who presented to the pediatrician with intermittent shortness of breath and pleuritic
chest pain. A chest x-ray demonstrated a left-sided pneumothorax and triangular opacity
in the left chest. A computed tomographic scan of the chest revealed the cause to
be a costal exostosis of the anterior fifth rib. The lesion was excised using video-assisted
thoracoscopic surgery, which has become an increasingly popular method for treating
these lesions, causing significantly less morbidity and allowing for a faster recovery
than a major thoracotomy.
Key words
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Article info
Publication history
Accepted:
June 25,
2010
Received in revised form:
June 23,
2010
Received:
April 14,
2010
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
