Rib spur causing a hemothorax, pneumothorax, and diaphragmatic injury in a pediatric patient

Vinh Dao, BS; Imane Chedid, MD; Peter Shahid, MD; Jason Sulkowski, MD; Sarah Williams, MD; Christopher Woleben, MD; Frank Petruzella, MD; Eman Mahdi, MD; Jacqueline Urbine, MD; Gregory Vorona, MD

Radiology Case Reports (Jan 2023)

Rib spur causing a hemothorax, pneumothorax, and diaphragmatic injury in a pediatric patient

Vinh Dao, BS,
Imane Chedid, MD,
Peter Shahid, MD,
Jason Sulkowski, MD,
Sarah Williams, MD,
Christopher Woleben, MD,
Frank Petruzella, MD,
Eman Mahdi, MD,
Jacqueline Urbine, MD,
Gregory Vorona, MD

Affiliations

Vinh Dao, BS: Virginia Commonwealth University School of Medicine, 1201 E Marshall St, Richmond, VA 23298, USA; Corresponding author.
Imane Chedid, MD: Department of Pediatric Emergency Medicine, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Peter Shahid, MD: Department of Radiology, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Jason Sulkowski, MD: Department of Pediatric Surgery, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Sarah Williams, MD: Department of Pediatric Emergency Medicine, Inova Fairfax Hospital, 3300 Gallows Rd, Falls Church, VA 22042, USA
Christopher Woleben, MD: Department of Pediatric Emergency Medicine, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Frank Petruzella, MD: Department of Pediatric Emergency Medicine, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Eman Mahdi, MD: Department of Radiology, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Jacqueline Urbine, MD: Department of Radiology, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA
Gregory Vorona, MD: Department of Radiology, Virginia Commonwealth University Hospital System, 1250 E. Marshall Street, Richmond, VA 23219, USA

Journal volume & issue: Vol. 18, no. 1
pp. 295 – 299

Abstract

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Pleural effusion is a relatively common condition encountered in the pediatric emergency department. Evaluation of pleural effusion in the emergency department typically includes advanced imaging such as computer tomography or ultrasound, as well as diagnostic thoracocentesis. We report a case of a 10-year-old female with a rib spur at the anterolateral left sixth rib that caused a hemothorax, pneumothorax, and diaphragmatic injury. The patient underwent video-assisted thoracoscopic surgery and resection of the rib spur. The procedure was well-tolerated without any complications.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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