Heterotopic mesenteric ossification: report of a case and review of the literature

Binesh, Fariba; Akhavan, Ali; Navabii, Hossein; Ostadi, Mussa

doi:10.1136/bcr-02-2012-5793

Cited by 14 publications

(13 citation statements)

References 19 publications

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“…El primer caso en la literatura sobre un tumor de estirpe ósea en el abdomen data de 1993 y corresponde a una lesión osificada próxima a la ileostomía de un paciente posproctocolectomía por colitis ulcerosa. Si bien los casos con osificación de cicatrices abdominales son relativamente frecuentes 4,5 , la localización intraabdominal de estas lesiones es poco frecuente y tiende a presentarse en el mesenterio 6 acuñarse el término, se realiza el primer reporte en Chile, cuando se presenta un caso denominado osificación difusa intraabdominal como complicación de colitis ulcerosa 7 .…”

Section: Discussionunclassified

Osificación heterotópica mesentérica precoz posabdomen abierto y su manejo quirúrgico. Presentación de un caso

et al. 2019

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Mesenteric heterotopic ossification after open abdomen and its surgical management. Presentation of a case Objective: Report the case of a patient with a history of multiple surgeries due to peritonitis and open abdomen, with intraoperative finding of mesenetrioc heterotopic ossification. Clinical case: A 59-year-old male patient with a history of complicated appendectomy 12 months ago, which requires the management of an open abdomen, right colectomy and terminal ileostomy. One year after appendectomy, is readmitted for transit reconstitution. Intraoperative finding were calcified mass in mesentery, of 15 x 10 x 6 cm, whose histological study reports mesenteric heterotopic ossification. This entity has low frequency, and is associated with a history of trauma and abdominal surgery, is described as a cause of morbidity and mortality. Resective surgical management is feasible for experienced teams. Conclusion: A case with antecedent of open abdomen is described, with later finding of mesenteric heterotopic ossification. This clinical case is representative for its classic risk factors and management used for its resolution.

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Section: Discussionunclassified

Osificación heterotópica mesentérica precoz posabdomen abierto y su manejo quirúrgico. Presentación de un caso

et al. 2019

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“…Occurrence is reported weeks to years after abdominal surgery or trauma [7]. Diagnosis of HMO requires a high index of clinical suspicion, since its presentation is ambiguous, with non-specific abdominal symptoms resembling bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal myositis ossificans in an asymptomatic patient during closure of a Hartmann's colostomy

et al. 2016

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Intra-abdominal myositis ossificans, also known as heterotopic mesenteric ossification, defines the formation of bone-like lesions inside the abdominal cavity. It is a rare medical condition, usually following abdominal surgery or trauma. A 55-year-old male presented for closure of a Hartmann's colostomy, created 6 months ago because of sigmoid adenocarcinoma. Intraoperative findings consisted of an elongated bone-like lesion attached on the peritoneum and protruding inside the abdominal cavity, while two more stiff calcified nodules were found in the mesocolon. All lesions were excised. The presence of a hard consistency sigmoid stump led to cancelation of the operation. Heterotopous bone formation constitutes a challenging surgical condition, since its clinical presentation is innocuous and repetitive surgery acts a stimuli for additional bone creation. Computed tomography scan plays a major role in its diagnosis, while nonsteroidal anti-inflammatory drugs and cimetidine are helpful in preventing further recurrence of the disease.

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“…To differentiate from these other possibilities a repeat CT scan should be obtained when in doubt. Bone formation remains static while contrast or blood changes in position and pool in dependent areas, and dystrophic calcification typically appears as faint radiodense areas that are punctate and irregular [11,13,[15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…The osteoblastic cells show usually no evidence of atypia, necrosis or increase in mitotic activity. HMO can sometimes exhibit a number of features that can elevate concerns for a malignant process including high cellularity, mitotic figures, and a "lace-like" osteoid production [17]. The most important histological feature of HMO is the zone formation.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic mesenteric ossification: Report of two cases with review of the literature

Mussatto¹,

Albrecht²,

Ebaugh³

et al. 2016

J Mod Hum Pathol

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Heterotopic mesenteric ossification: report of a case and review of the literature

Cited by 14 publications

References 19 publications

Osificación heterotópica mesentérica precoz posabdomen abierto y su manejo quirúrgico. Presentación de un caso

Osificación heterotópica mesentérica precoz posabdomen abierto y su manejo quirúrgico. Presentación de un caso

Intra-abdominal myositis ossificans in an asymptomatic patient during closure of a Hartmann's colostomy

Heterotopic mesenteric ossification: Report of two cases with review of the literature

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