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Thoracic outlet syndrome due to cervical rib presenting as supraclavicular mass in a female child

RAJKAMAL R R

Abstract


10year old female child presented with swelling in the right side of neck for past 1 month. Examination revealed a hard, fixed swelling of size 4 x 3 cms in right supraclavicular region. X-ray neck showed bilateral cervical rib. Provocation tests including Adsons test, hyperabduction manuever and EAST were positive on right side. Subsequently CT            angiogram confirmed right subclavian obstruction on dynamic imaging and the girl was diagnosed to have arterial thoracic outlet syndrome on right side. The child underwent right          cervical rib excision and recovered uneventfully.

 


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References


Thoracic outlet syndrome in children and young adults – European Journal of Endovascular surgery(2009)

khan A, Rattihalli RR, Hussain N et al: bilateral thoracic outlet syndrome –an uncommon presentation of a rare condition in children.

Thoracic outlet syndrome in the pediatric population: case series Vu AT, et al. J Hand Surg Am. 2014

Thoracic outlet syndrome in a child :a rare pediatric diagnosis Lebhar J, et al. Arch Pediatr. 2013 Article in French

Clinical presentation of cervical ribs in the pediatric population - Chan KH, et al. J Pediatr. 2013


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