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Eur J Cardiothorac Surg 2003;23:1056-1058
© 2003 Elsevier Science NL

Case report

An unusual cause of hiccup: costal exostosis. Treatment by video-assisted thoracic surgery

^a Unité de Chirurgie Thoracique, Hôtel-Dieu, AP-HP, 1, Place du Parvis Nôtre-Dame, 75181 Paris Cedex 04, France
^b Service de Anatomie et Cytologie Pathologiques, Hôtel-Dieu, AP-HP, Paris, France

Received 18 September 2002; received in revised form 10 January 2003; accepted 14 January 2003.

^* Corresponding author. Tel.: +33-1-4234-2686; fax: +33-1-4234-8377
e-mail: marcoalifano{at}yahoo.com

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 exostosis was achieved by video-assisted thoracic surgery. Symptoms disappeared after surgery. This report shows an exceptional symptom of costal exostosis.

Key Words: Exostosis • Osteochondroma • Symptoms • Hiccup • Video-assisted thoracic surgery