An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib

We present a unique case of intercostal muscle flap (ICMF) ossification mimicking an intrathoracic rib diagnosed 3 years after oesophageal perforation repair. A 58-year-old male presented with complaints of mild chest discomfort. Three years ago he had undergone left thoracotomy and primary repair o...

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Autores principales: Abdullah, Sharif, Guo, Ming Hao, Darling, Gail, Patsios, Demetris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243329/
https://www.ncbi.nlm.nih.gov/pubmed/30460028
http://dx.doi.org/10.1259/bjrcr.20150469
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author Abdullah, Sharif
Guo, Ming Hao
Darling, Gail
Patsios, Demetris
author_facet Abdullah, Sharif
Guo, Ming Hao
Darling, Gail
Patsios, Demetris
author_sort Abdullah, Sharif
collection PubMed
description We present a unique case of intercostal muscle flap (ICMF) ossification mimicking an intrathoracic rib diagnosed 3 years after oesophageal perforation repair. A 58-year-old male presented with complaints of mild chest discomfort. Three years ago he had undergone left thoracotomy and primary repair of post-emetic oesophageal perforation. An ICMF had been used to strengthen the repair. Chest X-ray identified a linear calcific density within the left hemithorax. Subsequent thoracic CT characterized the anomaly as ossification of the ICMF. The lesion had the appearance of a well-differentiated intrathoracic rib coursing through the left lower lobe. We discuss the typical appearances of ossified ICMFs and the potential complications resulting from this ossification.
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spelling pubmed-62433292018-11-20 An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib Abdullah, Sharif Guo, Ming Hao Darling, Gail Patsios, Demetris BJR Case Rep Case Report We present a unique case of intercostal muscle flap (ICMF) ossification mimicking an intrathoracic rib diagnosed 3 years after oesophageal perforation repair. A 58-year-old male presented with complaints of mild chest discomfort. Three years ago he had undergone left thoracotomy and primary repair of post-emetic oesophageal perforation. An ICMF had been used to strengthen the repair. Chest X-ray identified a linear calcific density within the left hemithorax. Subsequent thoracic CT characterized the anomaly as ossification of the ICMF. The lesion had the appearance of a well-differentiated intrathoracic rib coursing through the left lower lobe. We discuss the typical appearances of ossified ICMFs and the potential complications resulting from this ossification. The British Institute of Radiology 2016-11-02 /pmc/articles/PMC6243329/ /pubmed/30460028 http://dx.doi.org/10.1259/bjrcr.20150469 Text en © 2016 The Authors. Published by the British Institute of Radiology http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Abdullah, Sharif
Guo, Ming Hao
Darling, Gail
Patsios, Demetris
An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title_full An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title_fullStr An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title_full_unstemmed An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title_short An unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
title_sort unusual case of intercostal muscle flap ossification mimicking an intrathoracic rib
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243329/
https://www.ncbi.nlm.nih.gov/pubmed/30460028
http://dx.doi.org/10.1259/bjrcr.20150469
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