An atypical congenital chest wall deformity

An 11-year-old girl with an asymmetric chest wall deformity demonstrated an excavation in the flank combined with partial synergy of costae 4 and 5. She was treated by an innovative partial chest wall reconstruction consisting of rib remodeling and internal osteosynthesis. The reconstruction regained symmetry and cosmesis. Special cases of chest wall deformity require an individualized management.