Robotic assisted roux en y hepaticojejunostomy, after failed cholecystojejunostomy for the treatment of a choledocal cyst. case report

Abstract

Background: Heterotopic mesenteric ossification is a very rare disease. In most of cases, the patients had a history of an abdominal surgery or trauma. However, spontaneous heterotopic mesenteric ossification is extremely rare. Case presentation: A 60-year-old man presented with recurrent nausea and vomiting. On gastroduodenoscopy, luminal stenosis and edematous change at 2 nd w3 rd portion of duodenum without complete obstruction was seen. On abdomino-pelvis computerized tomography, slightly less prominent enhancing wall thickening at 2nd and 3rd portion of duodenum was found. We performed a pylorus-preserving pancreaticoduodenectomy. The pathologic report confirmed heterotopic ossification with extensive fibrosis in peripancreastic soft tissue. Conclusions: Herein, we described a case of duodenal stenosis from spontaneous heterotopic mesenteric ossification around pancreas that has never been reported.