Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2017; 8(5): 436-440
Published online May 18, 2017. doi: 10.5312/wjo.v8.i5.436
Published online May 18, 2017. doi: 10.5312/wjo.v8.i5.436
Chest pain caused by multiple exostoses of the ribs: A case report and a review of literature
Daniele Mazza, Mattia Fabbri, Cosma Calderaro, Carlo Iorio, Luca Labianca, Camilla Poggi, Francesco Turturro, Antonello Montanaro, Andrea Ferretti, Orthopedic Division, Sant’Andrea Hospital, La Sapienza University of Rome, 00189 Rome, Italy
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was approved by the Institution review board.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Daniele Mazza, MD, Orthopedic Division, Sant’Andrea Hospital, La Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy. daniele.mazza@hotmail.it
Telephone: +39-06-33775818 Fax: +39-06-33775918
Received: October 10, 2016
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
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
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.