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Four accessory (supernumerary) intrathoracic ribs: a case report

  • Anatomic Variations
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Abstract

Accessory (supernumerary) intrathoracic ribs are a very rare congenital disorder. Here, we present the first case of multiple supernumerary intrathoracic ribs in an adult, which are present consecutively between ribs 1 and 4 and without articulation with the vertebrae. Despite this, anatomical variation is usually silent and accidentally discovered; its knowledge can prevent confusion with other structures during imaging diagnostic techniques of thoracic pathologies.

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References

  1. Agyriou P, Pousios D, Tsocanas D, Psathakis C, Panagiotopoulos N, Piyis A (2007) Demonstration of an intrathoracic rib with computed tomography and three-dimensional reconstruction. Ann Thorac Surg 84:2117

    Article  Google Scholar 

  2. Aoyama H, Mizutani-koseki S, Koseki H (2005) Three developmental compartments involved in rib formation. Int J Dev Biol 49:325–333

    Article  PubMed  CAS  Google Scholar 

  3. Apaydin M, Sarsilmaz A, Varer M (2009) Third accessory (supernumerary) intrathoracic right rib. Surg Radiol Anat 31:641–643

    Article  PubMed  Google Scholar 

  4. Batra D, Lawner BJ (2006) Bifid fifth rib in a 9-year-old girl with chest pain. J Am Osteopath Assoc 106:359–360

    PubMed  Google Scholar 

  5. Barreiro T, Trawick D (2003) A rare thoracic finding. The intrathoracic rib. Clin Pulm Med 10:302

    Article  Google Scholar 

  6. Btosso N, Ghaye B (2008) Bifid intrathoracic rib. JBR-BTR 91:86–87

    Google Scholar 

  7. Chung JH, Pipavath SN (2009) Intrathoracic Rib. N Engl J Med 361:26

    Article  Google Scholar 

  8. Durak D, Eren B, Fedakar R, Türkmen N (2009) Congenital anomalies of the ribs: an autopsy case report. Bratisl Lek Listy 110:580–581

    PubMed  Google Scholar 

  9. Fischer B, Degenhardt PA (2008) Complex congenital anomaly: liver eventration because of intrathoracic rib and vertebral segmentation disorder—a case report. J Pediatr Surg 43:45–47

    Article  Google Scholar 

  10. Kamano H, Ishihama T, Ishihama H, Kubota Y, Tanaka T, Satoh K (2006) Bifid intrathoracic rib: a case report and classification of intrathoracic ribs. Intern Med 45:627–630

    Article  PubMed  Google Scholar 

  11. Kermond AJ (2008) Supernumerary intrathoracic rib–an easily recognized rare anomaly. Australas Radiol 15:131–132

    Article  Google Scholar 

  12. Lutz P (1947) Über eine ungewöhnliche Rippenanomalie zugleich ein Beitrag zur distalen Rippengabelung. Wien Klin Wochenschr 59:846–849

    PubMed  CAS  Google Scholar 

  13. MacEneaney P, Visweswaran A, Fennessy J, Masterson J (2001) Supernumerary intrathoracic ribs: imaging features of two cases. J Thorac Imaging 16:123–126

    Article  PubMed  CAS  Google Scholar 

  14. Osawa T, Sasaki T, Matsumoto Y, Tsukamoto A, Onodera M, Nara E, Chen JK, Fujimura A, Nozaka Y (1998) Bifid ribs observed in the third and the fourth ribs. Kaibogaku Zasshi 73:633–635

    PubMed  CAS  Google Scholar 

  15. Song WC, Kim SH, Park DK, Koh KS (2009) Bifid rib: anatomical considerations in three cases. Yonsei Med J 50:300–303

    Article  PubMed  Google Scholar 

  16. Von Ronnen J, Jongh R (1962) Description of 2 cases of intrathoracic rib (review of the literature and discussion). Ann Radiol (Paris) 5:639–648

    Google Scholar 

  17. Wallin J, Wilting J, Koseki H, Fritsch R, Christ B, Balling R (1994) The role of Pax-1 in axial skeleton development. Development 120:1109–1121

    PubMed  CAS  Google Scholar 

  18. Watkins TW, Wilkinson AG, Greer ML (2008) Atypical intrathoracic rib in a pediatric patient requiring helical CT scan with 3-D reconstruction for diagnosis. Pediatr Radiol 38:1003–1005

    Article  PubMed  Google Scholar 

  19. Wattanasirichaigoon D, Prasad C, Schneider G, Evans JA, Korf BR (2003) Rib defects in patterns of multiple malformations: a retrospective review and phenotypic analysis of 47 cases. Am J Med Genet A 1:63–69

    Article  Google Scholar 

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Acknowledgments

The authors have greatly appreciated the collaboration of Dr. G. Jiménez from the Forensic Anatomical Institute of Granada.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Anatomy and Embryology, School of Medicine, University of Granada, 18071, Granada, Spain

    Jose Prados, Francisco Archilla, Consolación Melguizo & Antonia Aranega

Authors
  1. Jose Prados
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  2. Francisco Archilla
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  3. Consolación Melguizo
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  4. Antonia Aranega
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Corresponding author

Correspondence to Consolación Melguizo.

Additional information

J. Prados and F. Archilla have contributed equally to this work.

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Prados, J., Archilla, F., Melguizo, C. et al. Four accessory (supernumerary) intrathoracic ribs: a case report. Surg Radiol Anat 35, 627–629 (2013). https://doi.org/10.1007/s00276-013-1079-3

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  • DOI: https://doi.org/10.1007/s00276-013-1079-3

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