We report a case of a 21-year old male with an asymptomatic solitary costal exostosis incidentally detected on a chest X-ray. The exostosis originated from the costochondral junction of the left fourth rib and protruded into the thoracic cavity. Exploratory thoracoscopy showed that the exostosis had scratched the adjacent pericardium and visceral pleura. A 5.5-cm long rib segment including the ...

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 exostos...

Subungual exostosis is a benign calcifying projection that occurs on the distal phalanx beneath or beside the nail. The problems in treatment are frequent postoperative recurrence and nail deformity or loss. Here, we describe the case of a male patient with a subungual exostosis beneath the proximal region of the nail plate of the right big toe. A precise preoperative evaluation of the anatomic...

BACKGROUND Hereditary multiple exostosis (HME) is characterised by multiple osteochondromas that are distributed throughout the skeleton, invariably involving the shoulder girdle. Tumours within the subacromial space can cause secondary irritation of the rotator cuff and result in subacromial impingement syndrome. CASE PRESENTATION We describe a 19 year old female patient with HME who present...

We report a case of spontaneous haemothorax in a 19 year old boy with an exostosis of the left second rib. It may have been caused by nontraumatic rupture of markedly dilated pleural vessels, as a result of long-standing friction between the exostosis and the pleura. This is the first report of spontaneous haemothorax, without penetrative injury to the pleura or the diaphragm, in a patient with...

a seven year-old boy with several painless masses on the ribs and shoulder was referred to our hospital. the masses were so prominent that they prevented the child’s sleep. since the patient had been ridiculed by his friends due to the rib prominences, he had refused to attend school. after clinical and radiological evaluations, the masses were diagnosed as hereditary multiple exostoses of the ...

The solitary osteochondroma, a common pediatric bone tumor, is a cartilage-capped exostosis. Hereditary multiple exostosis is an autosomal dominant disorder manifested by the presence of multiple osteochondromas. Linkage analysis has implicated mutations in the EXT gene family, resulting in an error in the regulation of normal chondrocyte proliferation and maturation that leads to abnormal bone...

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 o...

A 79-year-old man was admitted for aortic valve replacement 10 years after coronary surgery. The computed tomography (CT) scan showed a 5—6-cm-long bony structure originating from the distal sternum with its tip directed towards the right ventricle (Fig. 1). The structure was resected (Fig. 2) and histopathological examination revealed an exostosis. Fig. 1. 3D CT scan showing impingement of the...

Bone exostosis has long been described in the literature, appearing in most cases as a torus palatinus or mandibularis. These two variations are relatively common and affect approximately 30% of the world's population. Incidence is even higher when human skulls are examined post mortem, indicating that in some cases the exostosis is small and cannot be seen under the soft tissue. Removal of an ...