Heterotopic mesenteric ossification
Authors:
M. Bakoš 1; J. Korček 1; P. Rusev 1; M. Kuťka 1; A. Sládeček 2; Z. Tóthová 3
Authors‘ workplace:
Chirurgická klinika FN Nitra, prednosta: doc. MUDr. J. Korček, PhD.
1; Ústav patológie, FN Nitra, primár: MUDr. A. Sládeček
2; Jessenius – diagnostické centrum, a. s., Nitra, vedoucí pracoviště: MUDr. M. Halaj
3
Published in:
Rozhl. Chir., 2015, roč. 94, č. 7, s. 301-305.
Category:
Case Report
Overview
Heterotopic mesenteric ossification (HMO) is a rare disease inducing pathological bone tissue formation in the abdominal cavity after multiple operational traumas. The authors present an unusual case of mesenteric ossification formation in a 30 year-old man after surgery due to status ileosus on the basis of intestinal incarceration. After being released into home treatment the patient had to be hospitalized again and reoperated. During the next six weeks, the patient was reoperated three more times due to intestinal status ileosus and significant leaking of the entero-cutaneous fistula. Despite intensive parenteral hyperalimentation the patient‘s condition did not improve and metabolic breakdown became fatal for the patient. Pathophysiology of the mechanism of bone tissue formation in soft tissues is unknown.
Key words:
heterotopic mesenteric ossification – intra-abdominal myositis ossificans – intestinal obstruction – reoperation – metabolic breakdown
Sources
1. Wilson JD, Montague CJ, Salcuni P, et al. Heterotopic mesenteric ossification. Am Journal Surg Pathol 1999;23:1464–70.
2. Ioannidis O, Sekouli A, Paraskevas G, et al. Intra-abdominal heterotopic ossification of the peritoneum following traumatic splenic rupture. Journal Res Med Sci 2012;17:92−5.3. Gouello JP, Auvray L, Bouix A, et al. Early post-traumatic heterotopic mesenteric ossification: report of a case. Intensive Care Med 2006;3:950–1.
4. Davis AK, Kuhls DA, Wulff R, et al. Heterotopic ossification after blunt abdominal trauma. Journal Trauma 2008; 65:1536−9.
5. Reynoso JF, Christensen D, Latifi R. Heterotopic mesenteric ossification as a cause of persistent enterocutaneous fistula: overview of the literature and addition of a new case.
European surgery 2012;44:285−90.
6. Hashash JG, Zakhary L, Aoun EG, et al. Heterotopic mesenteric ossification. Colorectal Dis 2012;14:29–30.
7. Reardon MJ, Tillou A, Mody DR, et al. Heterotopic calcification in abdominal wounds. Am J Surg 1997; 173:145−7.
8. Di Paolo N, Sacchi G, Lorenzoni P, et al. Ossification of the peritoneal membrane. Perit Dial Int 2004;24:471−7.
9. Dejima K, Mitsuhashi H, Yasuda G, et al. Localization and extent of peritoneal calcification in three uremic patients on continuous ambulatory peritoneal dialysis. Ther Apher Dial. 2008;12:413−6.
10. Lai HJ, Jao SW, Lee TY, et al. Heterotopic mesenteric ossification after total colectomy for bleeding diverticulosis of the colon--a rare case report. J Formos Med Assoc 2007;106:32–6.
11. Patel RM, Weiss SW, Folpe AL. Heterotopic mesenteric ossification: a distinctive pseudosarcoma commonly associated with intestinal obstruction. Am J Surg Pathol 2006;30:119–22.
12. Shi X, Zhang W, Nabieu PF, et al. Early postoperative heterotopic omental ossification: report of a case. Surg Today 2011;41:137–40.
13. Heyd R, Buhleier T, Zamboglou N. Radiation therapy for prevention of heterotopic ossification about the elbow. Strahlenther Onkol 2009;185:506−11.
14. Bovo G., Romano F., Perego E, et al. Heterotopic mesenteric ossification a case report. Int J Surg Pathol 2004;12: 407−9.
15. Hakim M, McCarthy EF. Heterotopic mesenteric ossification. AJR 2001;176: 260–1.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2015 Issue 7
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