Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report

Lai, Huang-Jen; Jao, Shu-Wen; Lee, Tsai‐Yu; Ou, Jing‐Jim; Kang, Jung-Cheng

doi:10.1016/s0929-6646(09)60350-8

Cited by 17 publications

(18 citation statements)

References 15 publications

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“…15 High carbohydrase antigen-125 values have also been reported in patients with HMO, but the significance of this finding is unknown. 7,18 The preoperative laboratory data did not show any specific abnormalities in the present case. Postoperative laboratory data showed a continuously high Creactive protein level and an elevation in serum parathyroid hormone (PTH) activity.…”

Section: Discussioncontrasting

confidence: 43%

“…In some cases, the ossifications were detected by the CT scan. [4][5][6][7][8][9][10][11][12]14 In the present case, intra-abdominal ossifications could not be detected using a CT scan preoperatively because the ossifications were too small. FDG PET-CT and Tc-99m bone SPECT are considered to be useful for identifying intra-abdominal ossifications.…”

Section: Discussionmentioning

confidence: 55%

“…[4][5][6][7][8][9][10][11][12] Additional therapy to prevent HMO after the histological HMO diagnosis was performed in 4 cases. [6][7][8]13 In two cases, the patient was administrated NSAIDs; in others, cimetidine. 7,13 A preoperative diagnosis is often difficult.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8]13 In two cases, the patient was administrated NSAIDs; in others, cimetidine. 7,13 A preoperative diagnosis is often difficult. In some cases, the ossifications were detected by the CT scan.…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms of HMO are shown after a laparotomy or abdominal injury in 16 cases. 1,3,4,6,7,[9][10][11]13,[19][20][21][22] In 3 cases reported, heterotopic bone formation was observed along an abdominal midline incision, which was thought to have led to the HMO. 2,7,10 However, this hypothesis may be incorrect, as 7 cases reported had not experienced an operation or abdominal injury prior to developing HMO.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Heterotopic Mesenteric Ossification After a Ruptured Abdominal Aortic Aneurism: Case Report With a Review of Literatures

Honjo

Kumagai

Ishiguro

et al. 2014

International Surgery

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Heterotopic mesenteric ossification (HMO) is a rare disease that results in intra-abdominal ossification of unknown origin. An 88-year-old man developed an intestinal obstruction 2 weeks after undergoing an operation for a ruptured abdominal aortic aneurysm, resulting in intestinal obstructions those did not improved concervatively. During relaparotomy performed 30 days after the first operation, hard adhesions of the small intestine and mesentery were found; these adhesions were difficult to separate without damaging the serosa of the small intestine. We removed 240 cm of the small intestine and performed a jejuno-ileo anastomosis. Microscopically, trabecular bone tissue had increased irregularly in the fat tissue of the nodules with fibrosis, which were partially lined with osteoblasts. Accordingly, we histopathologically diagnosed the patient as having HMO. The patient was treated with NSAIDs and cimetidine to prevent the recurrence of HMO. No signs of recurrence have occurred as of one year after the second operation.

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Section: Discussioncontrasting

confidence: 43%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Heterotopic Mesenteric Ossification After a Ruptured Abdominal Aortic Aneurism: Case Report With a Review of Literatures

Honjo

Kumagai

Ishiguro

et al. 2014

International Surgery

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Early postoperative heterotopic omental ossification: Report of a case

et al. 2010

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Heterotopic mesenteric ossification (HMO) is an uncommon disorder that may sometimes be misdiagnosed. It can cause bowel or intestinal perforation, which may also lead to serious complications or even death. Heterotopic bone formation in the omentum, which is called heterotopic omental ossification (HOO) and is one type of HMO, is considered to be an exceedingly rare event. To our knowledge, about 29 cases of HMO have been reported in previous studies, of which three were HOO. We herein describe a case of HOO occurring in a 39-year-old Chinese man with no medical history of abdominal surgery. He underwent a left hemicolectomy, which was performed for the treatment of descending colon adenocarcinoma. Two weeks later, he developed a small bowel obstruction associated with multiple foci of heterotopic bone formation within the omentum. He therefore underwent a second surgical procedure for adhesiolysis and a partial omentectomy. The postoperative course was uneventful. He is still alive and disease-free 16 months later.

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Heterotopic mesenteric ossification as a cause of persistent enterocutaneous fistula: overview of the literature and addition of a new case*

2011

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Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report

Cited by 17 publications

References 15 publications

Heterotopic Mesenteric Ossification After a Ruptured Abdominal Aortic Aneurism: Case Report With a Review of Literatures

Heterotopic Mesenteric Ossification After a Ruptured Abdominal Aortic Aneurism: Case Report With a Review of Literatures

Early postoperative heterotopic omental ossification: Report of a case

Heterotopic mesenteric ossification as a cause of persistent enterocutaneous fistula: overview of the literature and addition of a new case*

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