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Ann Thorac Surg 2003;75:575-577
© 2003 The Society of Thoracic Surgeons

Case report

Unusual presentation of rib exostosis

Waseem M. Hajjar, FRCSa, Yasser M. El-Medany, FRCSa, Mohamed A. Essa, MDa, Mohamad A. Rafay, FRCSa, Mahmoud H. Ashour, FRCSa, Khaled M. Al-Kattan, FRCSa*

a Department of Surgery, Division of Thoracic Surgery, King Khalid University Hospital, and Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia

Accepted for publication August 22, 2002.

* Address reprint requests to Dr Al-Kattan, Division of Thoracic Surgery, Department of Surgery 37, King Khalid University Hospital, P.O. Box 7805, Riyadh 11472, Saudi Arabia
e-mail: alkattan{at}ksu.edu.sa

We report two cases of unusual presentation of rib exostosis. The first patient presented acutely with hemorrhagic shock due to massive hemothorax, and the second patient presented with repetitive chest infection complicated by empyema. In both patients, preoperative computed tomographic (CT) scan of the chest revealed rib exostoses, necessitating thoracotomy and rib resection.




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