Aneurysmal bone cyst (ABC) under the age of 10 years in the ribs is ra
re. After reviewing the literature for the last 20 years, we found tha
t 12% of aneurysmal bone cysts reported in patients under 10 years of
age and the lesion confined most frequently to the lower extremities a
nd localization to the ribs is extremely rare. We present a case of an
eurysmal bone cyst in the rib of a 7 year old Saudi male who presented
with a mass in the left 6th rib. Radiologically, it was impossible to
distinguish between giant cell tumor, aneurysmal bone cyst or enchond
roma. Therefore, surgical excision was performed.