Exostosis of a rib causing laceration of the diaphragm: diagnosis and management.
A 17-year-old boy presented with spontaneous hemothorax due to a puncture wound of the diaphragm by an inward facing exostosis of the rib. Diagnosis was made by computed tomographic scan, and the patient underwent a video-assisted thoracoscopic procedure to remove the exostosis. This is only the eighth reported case of an exostosis causing hemothorax.
Simansky
D A
DA
Department of Thoracic Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Paley
M
M
Werczberger
A
A
Bar Ziv
Y
Y
Yellin
A
A
D000293:Adolescent; D003964:Diaphragm / Q000293:injuries*; D004724:Endoscopy; D005097:Exostoses, Multiple Hereditary / Q000150:complications* / Q000000981:diagnostic imaging; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012272:Ribs; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D014741:Video Recording