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Hereditary multiple exostoses of the ribs as an uncommon cause of pneumothorax

Abstract : Rationale: Hereditary multiple exostoses (HME) is a genetic musculoskeletal condition causing multiple exostoses. Rib location of exostosis can be complicated by thoracic injuries. Patient concerns and diagnoses: We report a case of pneumothorax in a 32-year-old man with a partial left-sided pneumothorax caused by an exostosis of the fourth and fifth ribs. Interventions and outcomes: Clinical and radiological presentations allowed a conservative management. A video-assisted thoracoscopic surgery was performed a few weeks later to avoid any recurrence. Lessons: Rib exostosis represents an unusual cause of pneumothorax. Any local modification of symptoms or size of the exostosis should lead to investigations in regard to chondrosarcoma transformation.
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Antoine Dumazet, Claire Launois, Sandra Dury, Frédéric Sailhan, Marco Alifano, et al.. Hereditary multiple exostoses of the ribs as an uncommon cause of pneumothorax. Medicine, Lippincott, Williams & Wilkins, 2018, 97 (35), pp.e11894. ⟨10.1097/MD.0000000000011894⟩. ⟨hal-02450494⟩

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