Incidental Heterotopic Mesenteric Ossifications

Nashed, Beshoy; High, Wesley; Tahir, Syed Zubair; Quijano, C; Jones, Shea

doi:10.14740/jcs273w

Cited by 1 publication

(2 citation statements)

References 19 publications

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“…Heterotopic mesenteric ossification ( HMO ) is a benign bony tissue growth in the mesentery that mostly follows repetitive or severe abdominal injuries leading to reactive bone formation in the mesentery [ 1 ]. It is an abdominal catastrophe, and it requires multiple abdominal surgeries to manage.…”

Section: Introductionmentioning

confidence: 99%

“…The usual time elapsed from the time of the predisposing trauma to operation ranged from 2 to 4 weeks. However, this might extend to 7 years after the initial insult [ 1 ]. Because HMO is a rare occurrence and, therefore, is difficult to diagnose among many common abdominal disturbances, here we present a case of a 45-year-old Saudi male with a typical HMO discovered 9 months after right hemicolectomy in addition to a comprehensive literature review of similar published cases since it was first described in 1983 until 2020.…”

Section: Introductionmentioning

confidence: 99%

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A case report and literature review of heterotopic mesenteric ossification

Althaqafi

Assiri

Aloufi

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Heterotopic mesenteric ossification is a benign bony tissue growth in the mesentery that mostly follows repetitive or severe abdominal injuries leading to reactive bone formation in the mesentery. There are only 73 cases (51 publications) identified in the literature up to the beginning of 2020. Case presentation 45-year-old Saudi male underwent multiple laparotomies to manage complicated appendicitis which ended with a diverting ileostomy and a colostomy as a mucus fistula. After 9 months, the patient was admitted to the General Surgery department in Al-Hada Armed Forces Hospital for an open ileostomy and colostomy reversal surgery where several irregular bone-like tissues of hard consistency and sharp edges with some spindle-shaped structures resembling needles were found in the mesentery of the small intestine and histopathology revealed of trabecular bone fragments confirming the diagnosis. Clinical discussion The majority of cases occur mid to late adulthood with a predilection in the male gender, and usually present with bowel obstruction or an enterocutaneous fistula. Although it has no malignant potential, it may cause severe bowel obstruction that can lead to mortality, it's a rare occurrence and, therefore, is difficult to diagnose among many common abdominal disturbances. Conclusion Here we report a rare case of heterotopic mesenteric ossification, which should be considered as one of the delayed complications of abdominal surgery or trauma. The time range of expecting the presentation of heterotopic mesenteric ossification following major abdominal trauma or surgery should be extended and continuously considered during differential diagnosis.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%