Published online May 18, 2017. doi: 10.5312/wjo.v8.i5.436
Peer-review started: October 11, 2016
First decision: November 14, 2016
Revised: February 7, 2017
Accepted: February 28, 2017
Article in press: March 2, 2017
Published online: May 18, 2017
Core tip: This is a report of an exceptional case of multiple internal exostoses of the ribs in a young patient affected by multiple hereditary exostoses observed for chest pain as symptom of an intra-thoracic localization. Chest pain could be the only symptom of an intra-thoracic localization, possibly leading to serious complications. Thoracic localization must be suspected when patients complain chest pain. Computed tomography scan in indicated to confirm exostoses and to clarify relationship with surrounding structures. Video-assisted thoracoscopy surgery can be considered a valuable option for exostoses removal, alone or in addiction to a mini-thoracotomy approach, in order to reduce thoracotomy morbidity.