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

Eur J Cardiothorac Surg

Unité de Chirurgie Thoracique, Hôtel-Dieu, AP-HP, 1, Place du Parvis Nôtre-Dame, 75181, Paris Cedex 04, France.

Published: June 2003

AI Article Synopsis

  • A 15-year-old boy experienced persistent hiccups and left-sided chest pain, which led to a CT scan.
  • The scan revealed an exostosis (a bone growth) from the costo-chondral junction of his 4th rib, pressing against the pericardium.
  • The exostosis was surgically removed through video-assisted thoracic surgery, resulting in the complete resolution of symptoms.

Article Abstract

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.

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Source
http://dx.doi.org/10.1016/s1010-7940(03)00082-4DOI Listing

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