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Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses:A case report and review of the literature

引用

World Journal of Orthopedics 2021年第11期12卷 945-953页

作者： Koichi Nakamura Kunihiro Asanuma Akira Shimamoto Shinji Kaneda Keisuke Yoshida Yumi Matsuyama tomohito hagi Tomoki Nakamura Motoshi Takao Akihiro Sudo Department of Orthopedic Surgery Mie University Graduate School of MedicineTsu 514-8507Mie PrefectureJapan Department of Thoracic and Cardiovascular Surgery Mie University Graduate School of MedicineTsu 514-8507Mie PrefectureJapan

BACKGROUND Multiple exostoses generally develop in the first decade of *** most frequently arise from the distal femur,proximal tibia,fibula,and proximal *** exostoses are rare,contributing to 1%-2% of all exostoses in hereditary multiple exostoses(HME).They are usually asymptomatic,but a few cases have resulted in severe thoracic *** caused by costal exostoses is rare,with only 13 previously reported *** report a new case of pneumothorax caused by costal *** SUMMARY A 17-year-old male with HME underwent surgery for removal of exostoses around his right *** months following the operation,he felt chest pain when he was playing the trumpet;however,he did not stop playing for a *** was referred to our hospital with a chief complaint of chest *** computed tomography(CT)scan revealed right pneumothorax and multiple exostoses in his right *** CT scan also revealed visceral pleura thickness and damaged lung tissues facing the exostosis of the seventh *** diagnosed that exostosis of the seventh rib induced *** exostosis resection was performed by video-assisted thoracoscopic surgery(VATS)2 wk after the *** patient’s postoperative course was uneventful,and there was no recurrence of pneumothorax for 2 *** Costal exostoses causing thoracic injuries should be resected regardless of *** must be considered in cases with apparently benign and relatively small exostoses or HME.

关键词： Costal exostosis Pneumothorax Video-assisted thoracoscopic surgery Hereditary multiple exostoses Case report Treatment

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