CC BY 4.0 · Surg J (N Y) 2021; 07(03): e179-e183
DOI: 10.1055/s-0041-1731654
Case Report

A Never Described Variant of the Cervical Rib Causing Arterial Thoracic Outlet Syndrome: World's First Case

Saif Abdeali A. Kaderi
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
Sonewane Chetan
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
Tanvi Dalal
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
Dhaval Bhesaniya
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
,
1   Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra, India
› Author Affiliations

Abstract

Cervical ribs, also known as Eve's ribs, are rare and found in 1% of population. They are more common in females and more common on right side. They are asymptomatic in 90% of cases. Cervical rib fused with transverse process of sixth vertebra is rarer. We present a case of dry gangrene of lateral three fingers with right radial and subclavian artery thrombosis with rest pain, due to right cervical rib fused with transverse process of sixth vertebra. After development of line of demarcation of the dry gangrene, patient was operated for excision of cervical rib and sixth cervical vertebral transverse process followed by Ray's amputation of right second finger. Postoperative course was uneventful. Patient was discharged with oral anticoagulation and a healthy wound in right hand.



Publication History

Received: 10 March 2020

Accepted: 17 April 2021

Article published online:
22 July 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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