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Open Access 01-12-2016 | Case report

Asymptomatic costal exostosis with thickening in the pericardium: a case report

Authors: Toru Kameda, Takashi Makino, Takamitsu Sakai, Satoshi Koezuka, Hajime Otsuka, Yoshinobu Hata, Naobumi Tochigi, Kazutoshi Shibuya, Akira Iyoda

Published in: Journal of Cardiothoracic Surgery | Issue 1/2016

Abstract

Background

Costal exostosis is a benign condition that sometimes requires emergent surgery because of associated hemothorax; in addition, there have been cases with malignant transformation to chondrosarcoma. Here, we describe an asymptomatic patient who underwent thoracoscopic resection for primary costal exostosis.

Case presentation

A 16-year-old male was found to have a bow-shaped shadow on a chest X-ray. Chest computed tomography revealed a rod-like mass with a soft tissue shadow adjacent to the left fifth rib. A thoracoscopic partial resection of the left fifth rib was performed. Intraoperative findings included thickening of the pericardium near the tip of the growth and erosion of the visceral pleura of the left lung. The resected specimen was diagnosed as a primary costal exostosis based on histopathological findings.

Conclusions

We review the published literature on costal exostosis and discuss the surgical indications of asymptomatic cases.

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Title: Asymptomatic costal exostosis with thickening in the pericardium: a case report
Authors: Toru Kameda
Takashi Makino
Takamitsu Sakai
Satoshi Koezuka
Hajime Otsuka
Yoshinobu Hata
Naobumi Tochigi
Kazutoshi Shibuya
Akira Iyoda
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2016
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-016-0431-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Asymptomatic costal exostosis with thickening in the pericardium: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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