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Indian Journal of Applied Radiology

Case Report

Cervical Rib: A Hidden Culprit in Arterial Thoracic Outlet Compression Syndrome

Poornima GB, Madhu Shankar K, Sindhu K, Naveen D, Vishwapremraj, and Mallikarjunappa B

Department of Radiodiagnosis, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
*Corresponding author:Naveen D, Department of Radiodiagnosis, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India, Email Id: drnaveen4@yahoo.com
Copyright:© 2024 Poornima GB, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Information:Submission: 11/03/2024; Accepted: 02/04/2024; Published: 08/04/2024

Abstract

Thoracic outlet syndrome (TOS) is a rare condition caused by compression of the neurovascular structures as they pass through the thoracic outlet. One uncommon but potentially serious cause of TOS is compression of the subclavian artery by a cervical rib. We present a case of a 65year-old female patient who presented with symptoms of arm pain, burning sensation, and discolouration of right hand. Imaging studies revealed a cervical rib causing significant compression of the proximal subclavian artery, leading to arterial type of thoracic outlet syndrome. The patient underwent emergency brachial embolectomy with successful resolution of symptoms. This case highlights the importance of considering cervical rib compression in the differential diagnosis of TOS and the effectiveness of surgical intervention in such cases.
Keywords:Thoracic Outlet Syndrome; Subclavian Artery Compression; Cervical Rib; Brachial Embolectomy