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Eur J Cardiothorac Surg 2009;36:394. doi:10.1016/j.ejcts.2009.04.039
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Spontaneous haemothorax from an osteochondroma

Atasha Asmat*, John Tam

Department of Cardiac, Thoracic & Vascular Surgery, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore

Received 19 January 2009; received in revised form 16 April 2009; accepted 20 April 2009.

* Corresponding author. Tel.: +65 67722060; fax: +65 67766475. (Email: Atasha_ASMAT{at}nuh.com.sg).

Key Words: Diaphragmatic rupture • Haemothorax • Osteochondroma • Video-assisted thoracoscopic surgery

We present the case of a 16-year-old boy who presented with spontaneous haemothorax resulting from a puncture wound to the diaphragm caused by an osteochondroma of a rib. The diagnosis was made on the basis of a computed tomographic scan (Fig. 1 ), and the patient underwent video-assisted thoracoscopic surgery to have the osteochondroma removed (Fig. 2 ).


Figure 1
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  		Fig. 1. Computed tomographic scan of the chest illustrating right intrathoracic costal bone extension (see arrow).

 

Figure 2
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  		Fig. 2. Rib exostosis and puncture wound in diaphragm (arrow) seen during video-assisted thoracoscopic surgery.

 





This Article
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Right arrow Email this article to a friend
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Right arrow Author home page(s):
Atasha Asmat
John Tam
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Right arrow Articles by Asmat, A.
Right arrow Articles by Tam, J.
PubMed
Right arrow Articles by Asmat, A.
Right arrow Articles by Tam, J.
Related Collections
Right arrow Chest wall
Right arrow Diaphragm

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