Chest wall osteochondroma resection with biologic acellular bovine dermal mesh reconstruction in pediatric hereditary multiple exostoses: A case report and review of literature

Figure 1 Image of the patient. A large irregular right chest wall mass was observed. Several smaller lesions were obvious in the lower part of the chest bilaterally.

Figure 2 Chest X-ray of the child showing a large opacity over the right side of the chest.

Figure 3 Computed tomography of the patient’s chest with three-dimensional reconstruction showed a large irregular bony chest wall lesion with an intrathoracic extension.

Figure 4 Intraoperative images of the resection and reconstruction. A: Transverse upper thoracic incision over the lesion; B: The lesion exposed; C: The chest wall defect after the lesion was completely resected; D: Biological mesh was placed to cover the defect.

Figure 5 Postoperative images. A: Two closed suction drains were placed after chest closure; B: The lesion after resection measured 10.5 cm × 9.0 cm × 5.5 cm.

Figure 6 The patient’s chest wall 1 year after surgery with acceptable cosmesis.