Al Noumani Jawahar H, Al Rawahi Shathra S, Alshaharli Abdullah G, Al Farhan Hatem, Al Kindi Adil H, Al Alawi Abdullah M
Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Internal Medicine Residency Program, Oman Medical Specialty Board, Muscat, Oman.
Sultan Qaboos Univ Med J. 2025 May 2;25(1):288-292. doi: 10.18295/2075-0528.2823.
Exostosis, or osteochondroma, is an irregular bone growth commonly occurring near the femur, scapula, humerus and ribs. It can be a single isolated lesion or multiple lesions as in hereditary multiple exostoses (HME) which is a genetic autosomal dominant disorder. Although often asymptomatic, complications such as haemothorax are rare and have serious implications if not promptly recognised. We report a 15-year-old male patient who presented to a tertiary care hospital in Muscat, Oman, in 2023 who presented with progressive chest pain and dyspnoea. The patient had a family history of HME. Video-assisted thoracoscopic surgery (VATS) confirmed the osteochondromatous lesions on the 8th rib, which was causing the haemothorax. The lesion was resected and post-surgery, the symptoms resolved. No recurrence was documented up to the time of writing this report.
外生骨疣，即骨软骨瘤，是一种常见于股骨、肩胛骨、肱骨和肋骨附近的不规则骨生长。它可以是单个孤立性病变，也可以是多发性病变，如遗传性多发性外生骨疣（HME），这是一种常染色体显性遗传病。虽然通常无症状，但血胸等并发症罕见，如果不及时识别会有严重后果。我们报告一名15岁男性患者，于2023年就诊于阿曼马斯喀特的一家三级护理医院，表现为进行性胸痛和呼吸困难。该患者有HME家族史。电视辅助胸腔镜手术（VATS）证实第8肋骨上有骨软骨瘤病变，正是该病变导致了血胸。病变被切除，术后症状消失。截至撰写本报告时，未记录到复发情况。
