“…ABC is a benign tumor representing only 1.3 % for all bone tumours; Rib localization remains rare (1,2), ABC can be located on all ribs but the location at the level of the last 3 ribs is extremely rare, to our knowledge this is the first described case of an ABC of the twelfth rib. ABC is a tumor whose etiology is still controversial, according to the vascular theory the tumor is caused by the presence of a circulatory disorder responsible for an increase in blood pressure which causes the formation of a mass with cavities filled with blood, in the other hand others suggested the preexisting of a bone tumor as giant cell tumor the most common, fibrous dysplasia or nonossifying fibroma (2,3). ABC is found especially in young age group (our case is in this category), without any gender predilection, the symptomology is nonspecific can be asymptomatic or symptomatic with presence of chest pain, chest mass ,dyspnoea , paraplegia , or pathological fractures(4-6).…”