An unusual cause of hiccup: costal exostosis. Treatment by video-assisted thoracic surgery.
The described case is of a 15-year-old boy who presented with a persistent hiccup and repeated episodes of left-sided chest pain. At computed tomography scan an exostosis originating from the costo-chondral junction of the left 4th rib was seen. The tip of the exostosis reached the external surface of the pericardium. Removal of a 2 cm rib segment including the implantation basis of the exostosis was achieved by video-assisted thoracic surgery. Symptoms disappeared after surgery. This report shows an exceptional symptom of costal exostosis.
Alifano
Marco
M
Unité de Chirurgie Thoracique, Hôtel-Dieu, AP-HP, 1, Place du Parvis Nôtre-Dame, 75181, Paris Cedex 04, France. marcoalifano@yahoo.com
Morcos
Mohib
M
Molina
Thierry
T
Regnard
Jean François
JF
D000293:Adolescent; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D005096:Exostoses / Q000473:pathology / Q000601:surgery; D006606:Hiccup / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D015831:Osteochondroma / Q000473:pathology / Q000601:surgery*; D012272:Ribs / Q000473:pathology / Q000601:surgery*; D020535:Video-Assisted Surgery