Capillary Hemangioma in a Rib Presenting as Large Pleural Effusion

• Published in: The Annals of thoracic surgery Vol. 91; no. 4; pp. e59 - e61
• Main Authors: Hashimoto, Nobuyuki, MD, PhD, Takenaka, Satoshi, MD, PhD, Akimoto, Yasuyoshi, MD, Tanaka, Hisashi, MD, PhD, Morii, Eiichi, MD, PhD, Minami, Masato, MD, PhD, Yoshikawa, Hideki, MD, PhD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.04.2011
• Subjects: Bone Neoplasms - complications; Bone Neoplasms - diagnosis; Cardiothoracic Surgery; Female; Hemangioma, Capillary - complications; Hemangioma, Capillary - diagnosis; Humans; Middle Aged; Pleural Effusion, Malignant - etiology; Ribs; Surgery; 5
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2010.11.074

Intraosseous hemangioma in a rib is extremely rare, and most of the few reported cases are of the cavernous subtype. First we describe a capillary hemangioma arising from a rib in a 64-year-old woman that developed into a large, one-sided pleural effusion during the course of a 3-year follow-up. In addition to the life-threatening condition, the tumor demonstrated malignant imaging features such as a sunburst-like appearance or cortical disruption on plain roentgenogram and computed tomography. This case report adds to the literature on a serious complication and also discusses the diagnosis and management of this rare disease.