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Eur J Cardiothorac Surg 2002;21:338
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Synovial cyst arising from pseudoarthrosis of a rib fracture following trauma

Murat Karaa*, Göknur Alverb, Özhan Aksuc, Sevket Kavukçub

a Department of Thoracic Surgery, School of Medicine, University of Kirikkale, 71100, Kirikkale, Turkey
b Department of Thoracic Surgery, Ankara University School of Medicine, bn-i Sina Hospital, 06100, Sihhiye, Ankara, Turkey
c Department of Clinical Cytology, Ankara University School of Medicine, 06100, Sihhiye, Ankara, Turkey

Received 10 August 2001; received in revised form 20 November 2001; accepted 24 November 2001.

* Corresponding author. Güvenlik caddesi, Esenlik sokak 7/10, TR-06540, Aagiayranci, Ankara, Turkey. Tel.: +90-312-4670054; fax: +90-318-2252819
e-mail: muratkara66{at}hotmail.com

Key Words: Trauma • Pseudoarthrosis • Synovial cyst

A traumatized 63-year-old man was managed with tube thoracostomy as he had a right-sided hemopneumothorax and multiple rib fractures. He had an uneventful outcome, however, he presented with a soft, painful swelling in the vicinity of his right scapula 8 weeks following his discharge. Chest X-ray showed apparent non-union 4-5-6-7th ribs on the right side. Computed tomography showed a right-sided cystic appearance (Fig. 1 ). Histological and immunohistochemical examination revealed a cystic lesion of synovial nature (Fig. 2 ).



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  		Fig. 1. Computed tomography revealing a right-sided cyst formation on the chest wall beneath the serratus anterior muscle (arrow).

 


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  		Fig. 2. Fibrous thickened wall lined by a monolayered synovial membrane (HEx100).

 




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