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Nakamura K, Asanuma K, Shimamoto A, Kaneda S, Yoshida K, Matsuyama Y, Hagi T, Nakamura T, Takao M, Sudo A. Spontaneous pneumothorax in a 17-year-old male patient with multiple exostoses: A case report and review of the literature. World J Orthop 2021; 12(11): 945-953 [PMID: 34888155 DOI: 10.5312/wjo.v12.i11.945]
Koichi Nakamura, Kunihiro Asanuma, Keisuke Yoshida, Yumi Matsuyama, Tomohito Hagi, Tomoki Nakamura, Akihiro Sudo, Department of Orthopedic Surgery, Mie University Graduate School of Medicine, Tsu 514-8507, Mie Prefecture, Japan
Akira Shimamoto, Shinji Kaneda, Motoshi Takao, Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu 514-8507, Mie Prefecture, Japan
Author contributions: Shimamoto A and Kaneda S were the patient’s surgeons; Nakamura K and Asanuma K wrote the manuscript; Nakamura K collected the previous reports; and All authors were involved in revising the first draft and approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient and his parent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Kunihiro Asanuma, MD, PhD, Associate Professor, Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu 514-8507, Mie Prefecture, Japan. kasanum@gmail.com
Received: June 27, 2021 Peer-review started: June 27, 2021 First decision: July 27, 2021 Revised: August 7, 2021 Accepted: September 16, 2021 Article in press: September 16, 2021 Published online: November 18, 2021 Processing time: 141 Days and 23.6 Hours
Core Tip
Core Tip: We report a case of pneumothorax caused by costal exostoses in a patient with hereditary multiple exostoses (HME). The computed tomography scan revealed exostoses and clarified the relationship between exostoses and the surrounding structures, which enabled us to identify the cause of the pneumothorax. Costal exostoses causing thoracic injuries should be removed regardless of age; thoracic complications are serious, and there is no apparent correlation between age at the time of operation and recurrence of thoracic complications after surgery. The application of video-assisted thoracoscopic surgery (VATS) is worthy of consideration for patients with apparently benign and relatively small exostoses or patients with HME as redo VATS may be easily offered.
