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Division of Pediatric Surgery, The Children's Hospital of New York-Presbyterian, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
A 6-year-old girl with hereditary multiple exostoses presented with spontaneous hemothorax and pericardial effusion. Chest computed tomographic scan showed left-sided costal exostoses protruding into the left side of the chest. She underwent successful thoracoscopic resection of 3 left rib exostoses and made a full recovery. This report illustrates this rare clinical scenario and reviews the previously published reports of this complication of costal exostoses.
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