Case Report

Pediatric Surgery International

, Volume 22, Issue 4, pp 401-403

Osteochondroma causing diaphragmatic rupture and bowel obstruction in a 14-year-old boy

  • Fizan AbdullahAffiliated withDivision of Pediatric General & Orthopedic Surgery, Childrens Hospital Los Angeles
  • , Robert KanardAffiliated withDivision of Pediatric General & Orthopedic Surgery, Childrens Hospital Los Angeles
  • , Dominic FeminoAffiliated withDivision of Pediatric General & Orthopedic Surgery, Childrens Hospital Los Angeles
  • , Henri FordAffiliated withDivision of Pediatric General & Orthopedic Surgery, Childrens Hospital Los Angeles
  • , James SteinAffiliated withDivision of Pediatric General & Orthopedic Surgery, Childrens Hospital Los Angeles Email author 

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Abstract

Exostosis, also known as osteochondroma, results from a disorder of the growth-plate where bone grows away from the growth axis and forms an irregular projection. This abnormality most commonly occurs around the femur, scapula, humerus, and ribs. Although hemothorax and diaphragmatic rupture are known complications of exostosis growth, we present herein the first known report of an inward-facing exostosis in a 14-year-old boy with hereditary multiple exostosis causing diaphragmatic rupture and a bowel obstruction requiring operation. Most exostoses are asymptomatic and as such require no further treatment. However, when they are threatening to cause mass effects (such as frictional bursitis, local entrapment of vessels, and tendons or nerves) or symptomatic, surgical resection is the appropriate treatment.

Keywords

Osteochondroma Intestinal obstruction Diaphragmatic rupture Childhood