Costal exostosis at risk of hepatic injury in a 10-year-old girl
Hereditary multiple exostosis (HME) is a rare skeletal genetic disorder with multiple and disseminated osteochondromas. Costal localization is found in 40% of cases. Surgery for asymptomatic lesions remains controversial, but some lesions can be life-threatening. We report the case of a 10-year-old...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221357662200118X |
| _version_ | 1811341090527117312 |
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| author | M. Doan B. Tschopp A. Binet J.-M. Joseph A. Bregou Bourgeois |
| author_facet | M. Doan B. Tschopp A. Binet J.-M. Joseph A. Bregou Bourgeois |
| author_sort | M. Doan |
| collection | DOAJ |
| description | Hereditary multiple exostosis (HME) is a rare skeletal genetic disorder with multiple and disseminated osteochondromas. Costal localization is found in 40% of cases. Surgery for asymptomatic lesions remains controversial, but some lesions can be life-threatening. We report the case of a 10-year-old girl with HME, who developed a sharp costal exostosis compressing the hepatic parenchyma, for which a prophylactic resection was decided. The complete excision of the lesion was performed through extraperitoneal approach under video-assisted laparoscopy control, without short- and mid-term complication. To our knowledge, our case is the first in the literature where exostosis threatens the hepatic parenchyma. |
| first_indexed | 2024-04-13T18:52:28Z |
| format | Article |
| id | doaj.art-2a42859914af4925ae05fefb15591cfb |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T18:52:28Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-2a42859914af4925ae05fefb15591cfb2022-12-22T02:34:23ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-07-0182102291Costal exostosis at risk of hepatic injury in a 10-year-old girlM. Doan0B. Tschopp1A. Binet2J.-M. Joseph3A. Bregou Bourgeois4Corresponding author.; Department of Pediatric and Adolescent Surgery, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, SwitzerlandDepartment of Pediatric and Adolescent Surgery, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, SwitzerlandDepartment of Pediatric and Adolescent Surgery, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, SwitzerlandDepartment of Pediatric and Adolescent Surgery, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, SwitzerlandDepartment of Pediatric and Adolescent Surgery, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, SwitzerlandHereditary multiple exostosis (HME) is a rare skeletal genetic disorder with multiple and disseminated osteochondromas. Costal localization is found in 40% of cases. Surgery for asymptomatic lesions remains controversial, but some lesions can be life-threatening. We report the case of a 10-year-old girl with HME, who developed a sharp costal exostosis compressing the hepatic parenchyma, for which a prophylactic resection was decided. The complete excision of the lesion was performed through extraperitoneal approach under video-assisted laparoscopy control, without short- and mid-term complication. To our knowledge, our case is the first in the literature where exostosis threatens the hepatic parenchyma.http://www.sciencedirect.com/science/article/pii/S221357662200118XHereditary multiple exostoses (HME)OsteochondromaHepatic rupturePediatric diseaseExploratory laparoscopy |
| spellingShingle | M. Doan B. Tschopp A. Binet J.-M. Joseph A. Bregou Bourgeois Costal exostosis at risk of hepatic injury in a 10-year-old girl Journal of Pediatric Surgery Case Reports Hereditary multiple exostoses (HME) Osteochondroma Hepatic rupture Pediatric disease Exploratory laparoscopy |
| title | Costal exostosis at risk of hepatic injury in a 10-year-old girl |
| title_full | Costal exostosis at risk of hepatic injury in a 10-year-old girl |
| title_fullStr | Costal exostosis at risk of hepatic injury in a 10-year-old girl |
| title_full_unstemmed | Costal exostosis at risk of hepatic injury in a 10-year-old girl |
| title_short | Costal exostosis at risk of hepatic injury in a 10-year-old girl |
| title_sort | costal exostosis at risk of hepatic injury in a 10 year old girl |
| topic | Hereditary multiple exostoses (HME) Osteochondroma Hepatic rupture Pediatric disease Exploratory laparoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S221357662200118X |
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