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[A rare complication of multiple exostoses: hemothorax]

J Dendale1, S Amram, S Dermakar

  • 1Service de pédiatrie, hôpital Gaston-Doumergue, Nîmes, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|June 1, 1995
PubMed
Summary

Hemothorax, a rare complication of hereditary multiple exostosis, can occur due to internal costal growths. This case report shows successful treatment with thoracentesis, highlighting its potential as a primary intervention.

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Area of Science:

  • Medical Case Reports
  • Thoracic Surgery
  • Genetics and Hereditary Diseases

Background:

  • Hereditary multiple exostosis (HME) is a rare genetic disorder characterized by the development of multiple bony outgrowths.
  • Complications of HME are varied, but hemothorax is an exceptionally rare presentation.

Observation:

  • A 12-year-old boy with known HME presented with acute thoracic pain and pleural effusion.
  • Initial conservative management failed, and thoracentesis revealed hemothorax.
  • Imaging confirmed intra-thoracic costal exostoses as the likely cause.

Findings:

  • The hemothorax resolved spontaneously within 12 days following thoracentesis.
  • Bacteriological and cytologic analyses were negative, ruling out infection or malignancy.

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  • The patient recovered fully without long-term pleural sequelae.

    • Implications:

    • Internal costal exostoses should be considered in the differential diagnosis of hemothorax in patients with HME.
    • Thoracentesis can be an effective initial treatment for hemothorax secondary to HME.
    • Aggressive interventions may be necessary for severe or recurrent bleeding cases.