Heterotopic Ossification in Abdominal Operation Scars

Ossification in Abdominal Scars1

“…As in the present cases, previous reports of scar ossification involved longitudinal abdominal scars rather than transverse ones (Eidelman & Waron 1973, Classen et al 1960, Marteinsson & Musgrove 1975. The indication for the initial operation does not appear to influence the occurrence of the condition.…”

“…It ranged between five months and 15 years in our cases. Eidelman & Waron (1973) reported a case occurring as early as 27 days after operation. Collins & Curran (1959) claimed that the condition was not related to dystrophic calcification but that it occurred as membrane bone formation progressing through woven bone to lamellar bone.…”

“…When symptomatic, wide excision of the hard tissue is indicated. Local irradiation with 1000-2000 rad in addition to excision has been advocated in order to prevent recurrence (Eidelman & Waron 1973). The justification for this additional measure has not been established.…”

Heterotopic Ossification of Abdominal Wall Scar

“…Several theories have been suggested to explain the phenomenon; possible causes suggested include (1) metaplasia of multipotent, undifferentiated, embryonic connective-tissue cells secondary to trauma; (2) excessive suture line tension or presence of foreign bodies from residual suture material [3]; (3) intraoperative seeding of perichondrial cells from the xiphoid [1,[4][5][6][7]. To our knowledge, we report the first case with bilateral ossification of the surgical incision; this helps to clarify the possible cause of this entity.…”

Posttraumatic heterotopic bone formation and peptic ulcer in abdominal scars

“…Heterotopic bone formation in abdominal scars is uncommon, but has been reported [1][2][3][6][7][8][9][10]. The combination of heterotopic bone formation with a related gastrojejunal ulcer is unique.…”