Exostosis in rib of a corpse: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.9307

Keywords:

Ribs; Osteochondroma; Exostosis.

Abstract

The authors sought bone alterations in the ribs of 12 bones from the exhumation of corpses from a public cemetery in Cascavel-PR, which were donated to the university for teaching and research purposes. In this examination, the presence of a bone protuberance of 0.7 mm in length and 0.4 mm in thickness was observed in the intrathoracic region of a rib of the right antimere. This finding is compatible with the condition of solitary Exostosis and is present in a rare site of involvement. The presence of this finding can lead to chest pain or discomfort, since the compression caused by this structure is uncomfortable or it can be asymptomatic and of casual diagnosis. In addition, it can lead to severe conditions such as pneumothorax, hemothorax, neural compression and even sarcomatous degeneration. Thus, a professional investigation that may be necessary in order to avoid future complications.

References

Alves, M. P. T., Dias, L. H., Campos, M. M. (1999). Osteocondroma da extremidade proximal da ulna: relato de caso. Revista Brasileira de ortopedia, 34(7).

Bovée J. V. (2008) Multiple osteochondromas. Orphanet Journal Of Rare Diseases, 3(3), 13 fev. 2008. http://dx.doi.org/10.1186/1750-1172-3-3.

David, A., Dalmina, V., de Souza, V., Júnior, C. P. & de Oliveira G. K. (1995). Exostose múltipla hereditária. Revista brasileira de ortopedia, 30(s), 11-12.

Dorfman, HD. & Czerniak B (1998). Osteochondroma. Bone tumors. p. 331–46.St. Louis: Mosby.

Gomes, A. C. N., Silveira, C. R. S., Paiva, R. G. S., Aragão Jr., A. G. M. & Castro Jr., J. R. C. (2006). Condrossarcoma em paciente com osteocondromatose múltipla: relato de caso e revisão da literatura. Radiologia Brasileira, 39(6), 449-451. https://doi.org/10.1590/S0100-39842006000600015.

Gomes, F. S. E., Lewin F., Mariotti1 G. C., Cruz R. O., Baptista, P. P. R., Yonamine, E. S. Y., Próspero, J. D., Filho, M. C. & Yamaguchi, C. K. (2007). Osteocondromas: avaliação por imagem das complicações. Revista Imagem, 29(2), 53–59. http://dx.doi.org/10.1016/0003-4975(89)90802-3

Kadu, V. V., Saindane, K. A., Goghate, N., & Goghate, N. (2015). Osteochondroma of the Rib: a rare radiological apeareance. Journal of orthopaedic case reports, 5(1), 62–64. https://doi.org/10.13107/jocr.2250-0685.258.

Kalidos, K., Prahladan, A. & Koshy, S. M. (2015). Radiology of ribs: spectrum of normal variants and pathological conditions - emphasis on chest radiograph. Poster apresentado no The European Congress of Radiology, Viena, Áustria. https://dx.doi.org/10.1594/ecr2015/C-1903.

Keith L. Moore, Arthur F. Dalley, Anne m.R. Agur; tradução Claudia Lucia Caetano de Araujo. 7. ed. Rio de Janeiro: Koogan, 2014. Anatomia orientada para a clínica, 407-408.

Khurana J., Abdul, K. F. & Bovée J.V.M. (2002) Osteochondroma. In: Fletcher C.D., Unni K.K., Mertens F., editors. Pathology and genetics of tumours of the soft tissues and bonés, 234–237. Lyon: IARC Press.

Kikuchi, R., Mino, N., Matsukura, T., & Hirai, T. (2010). Resected osteochondroma of the rib in an elderly patient. General thoracic and cardiovascular surgery, 58(11), 588–591. https://doi.org/10.1007/s11748-009-0570-6.

Lin, C. Y., Chang, C. C., & Chuang, M. T. (2017). Spontaneous Haemothorax Secondary to Rib Exostosis. Heart, lung & circulation, 26(8), 62–63. https://doi.org/10.1016/j.hlc.2017.02.005

López, R. P., Navarro, E. M., Puente, A.L. L., & Ortega, M. R. (2010). Exostosis tibial: osteocondroma. Pediatría Atención Primaria, 12(46), 255-261. Recuperado em 29 setembro, 2020, de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1139-76322010000300008&lng=es&tlng=es.

Maeda, K., Watanabe, T., Sato, K., Takezoe, T., Migita, M., Takahashi, M., Ohno, M., Tahara, K., Fuchimoto, V. & Uchikawa, S. (2017). Two cases of asymptomatic rib exostosis treated by prophylactic surgical excision. Journal Of Pediatric Surgery Case Reports, 20, 24-28. http://dx.doi.org/10.1016/j.epsc.2017.03.004.

Moraes, F. B., Melo M. C., Debieux P., Rocha A. V. & Santos M. R. (2014). Osteocondroma patelar: relato de caso. Revista Brasileira de Ortopedia, 49(2), 206-209. https://dx.doi.org/10.1016/j.rboe.2014.03.008.

Nayak, S. B., Kumar, N., Sirasanagandla, S. R., Srinivas, S. P., Pamidi, N., & Shetty, S. D. (2018). Solitary osteochondroma in the body of the pubic bone: a cadaveric case report. Anatomy & cell biology, 51(2), 136–138. https://doi.org/10.5115/acb.2018.51.2.136

Phatak S. V., Kolwadkar P. K. & Rajderkar D. (2006). Solitary osteochondroma of rib: A case report. Indian Journal of Radiology and Imaging, 16(3), 339-340. Recuperado em 19 setembro, 2019, de http://www.ijri.org/text.asp?2006/16/3/339/29011.

Ramesh, N., O'Dowd, M. & Hogan, B. (2002). Osteochondroma of the rib. Eurorad. Recuperado em 19 setembro, 2019, de https://www.eurorad.org/case/1799.

Rosenberg, N. P., Leuck Jr., I., Luca Jr., M., & Castro Jr., M. A. M. (2002). Osteocondroma: relato clínico. Jornal de Pneumologia, 28(2), 107-108. https://doi.org/10.1590/S0102-35862002000200009.

Silva, R. F. N. G., Maranhão, C. M. C. T.; Lopes, P. H. S., Vasconcellos, R. J. H. & Nogueira, E. F. C. (2017). Correção estética em paciente portador de exostose frontal: relato de caso. Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial, 17(4), 52-55. Recuperado em 29 setembro, 2020, de http://www.revistacirurgiabmf.com/2017/04/Artigos/10Caso.pdf.

Souza, A. M. G., & Bispo Júnior, R. Z. (2014). Osteocondroma: ignorar ou investigar?. Revista Brasileira de Ortopedia, 49(6), 555-564. https://doi.org/10.1016/j.rboe.2013.10.002.

Teijeira, F. J., Baril, C. & Younge, D. (1989). Spontaneous hemothorax in a patient with hereditary multiple exostoses. The Annals Of Thoracic Surgery, 48(5), 717-718.

Tobin, R., Krych, S., & Harkless, L. B. (1989). First metatarsal-cuneiform dorsal exostosis: its anatomical relation with the medial dorsal cutaneous nerve. The Journal of foot surgery, 28(5), 442–444.

Published

18/10/2020

How to Cite

FLORÊNCIO, G. R. M. .; SOUZA, D. de .; PEREIRA, B. H. P. .; SOUZA, M. P. de; SILVA, A. B. da .; PEREIRA, K. F. Exostosis in rib of a corpse: a case report. Research, Society and Development, [S. l.], v. 9, n. 10, p. e7789109307, 2020. DOI: 10.33448/rsd-v9i10.9307. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9307. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences