Pre-sternal mass with a congenital sternal defect: a rare presentation
Ashley Ridout1, Javaid Sadiq, Kokila Lakhoo
1Department of Paediatric Surgery, Oxford Children's Hospital & University of Oxford, Headington, Oxford, OX3 9DU, UK.
Pediatric Surgery International
|May 6, 2009
Summary
A rare chest infection in a child was linked to a congenital sternal defect. Prompt antibiotic and surgical treatment led to a full recovery, highlighting the importance of identifying these rare congenital anomalies.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Congenital Anomalies
Background:
- Anterior chest wall and mediastinal infections are uncommon in children without prior thoracic surgery.
- Congenital sternal defects, resulting from incomplete sternal ossification, present with variable severity.
Observation:
- A 15-month-old boy presented with an anterior chest wall mass.
- Investigations revealed an infective mass extending into the anterior mediastinum.
Findings:
- A previously undiagnosed 5 mm congenital sternal defect was identified peri-operatively as the pathway for infection.
- The infection was successfully treated with antibiotic therapy and surgical intervention.
Implications:
- This case underscores the potential for congenital sternal defects to predispose children to rare infections.
- Early diagnosis and appropriate management of such defects are crucial for favorable outcomes in pediatric patients.
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