University of Virginia School of Medicine, Charlottesville, Virginia.
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0090. doi: 10.2106/JBJS.CC.19.00090.
We present a case report of an 18-year-old woman who presented to a general surgeon with a several month history of intermittent right upper quadrant pain, strongly suggestive of symptomatic cholelithiasis and underwent a laparoscopic cholecystectomy. She was eventually found to have an osteoid osteoma (OO) of the right eighth rib. She was treated with radiofrequency ablation with complete resolution of symptoms 1 month after treatment.
In cases where a patient's age and risk factors would make the diagnosis of cholelithiasis less likely, OO should be added to the differential diagnosis of symptomatic right upper quadrant pain.
我们报告了 1 例 18 岁女性患者，其因间歇性右上腹疼痛就诊于普外科医生，高度提示症状性胆石症，并接受了腹腔镜胆囊切除术。最终发现她的右侧第 8 肋骨有骨样骨瘤（OO）。她接受了射频消融治疗，治疗后 1 个月症状完全缓解。
如果患者的年龄和危险因素使胆石症的诊断不太可能，那么 OO 应被添加到有症状的右上腹痛的鉴别诊断中。
