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Miscellanea
Images in paediatrics
Spontaneous pneumothoraces in hereditary multiple exostoses
  1. Jasneek Kaur Chawla1,
  2. Michael Jackson2,
  3. Fraser Donald Munro3
  1. 1 Department of Paediatric Respiratory Medicine, Royal Hospital for Sick Children, Edinburgh, UK
  2. 2 Department of Paediatric Radiology, Royal Hospital for Sick Children, Edinburgh, UK
  3. 3 Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, UK
  1. Correspondence to Dr Jasneek Kaur Chawla, Department of Paediatric Respiratory Medicine, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK; jchawla{at}nhs.net

https://doi.org/10.1136/archdischild-2012-303289

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    A 12-year-old boy, with a prior diagnosis of hereditary multiple exostoses, presented with sudden onset shortness of breath and chest pain. Physical examination and chest x-ray (CXR) revealed a large left tension pneumothorax (figures 1 and 2). A chest drain was inserted and follow-up CXR showed complete resolution, allowing discharge 4 days later. The presence of multiple rib exostoses on CXR raised the possibility of pneumothorax occurring secondary to direct trauma from one such lesion. CT chest confirmed multiple bony exostoses and identified …

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    Footnotes

    • Contributors JKC is identified as the author responsible for the overall content of this case report. All authors agreed that the case report would be interesting and useful to submit for publication. JKC and FDM contributed to the manuscript preparation with intraoperative images provided by FDM. Consent for use of patient information was obtained from the patient's guardian by JKC and FDM. Radiology images used in the case presentation were provided by MJ.

    • Competing interests None.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.