Heterotopic mesenteric ossification: a report of two cases
Heterotopic mesenteric ossification (HMO) is abnormal bone formation in tissues which usually do not undergo ossification. There are approximately 75 cases reported worldwide. We present two cases of HMO. The first case is that of a 39-year-old man who presented with abdominal pain and a computerize...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Pathologists & the Korean Society for Cytopathology
2022-09-01
|
| Series: | Journal of Pathology and Translational Medicine |
| Subjects: | |
| Online Access: | http://www.jpatholtm.org/upload/pdf/jptm-2022-07-23.pdf |
| _version_ | 1828170407444742144 |
|---|---|
| author | Hisham F. Bahmad Olga Lopez Tyson Sutherland Marisa Vinas Kfir Ben-David Lydia Howard Robert Poppiti Sarah Alghamdi |
| author_facet | Hisham F. Bahmad Olga Lopez Tyson Sutherland Marisa Vinas Kfir Ben-David Lydia Howard Robert Poppiti Sarah Alghamdi |
| author_sort | Hisham F. Bahmad |
| collection | DOAJ |
| description | Heterotopic mesenteric ossification (HMO) is abnormal bone formation in tissues which usually do not undergo ossification. There are approximately 75 cases reported worldwide. We present two cases of HMO. The first case is that of a 39-year-old man who presented with abdominal pain and a computerized tomography scan of the abdomen and pelvis revealed an apple core lesion resulting in small bowel obstruction. The second case is that of a 36-year-old woman who presented 2 months after undergoing robotic gastric sleeve resection complaining of weakness and emesis. An esophagogram revealed kinking at the distal esophagus. Surgical resection was performed in both, yielding the diagnosis of HMO. There are various theories as to the pathophysiology of HMO, but no clearly defined mechanism has been established. Management should be conservative whenever possible to prevent further ossification with subsequent surgical intervention. |
| first_indexed | 2024-04-12T03:09:29Z |
| format | Article |
| id | doaj.art-5549fd7989ac4a1197e1f54681cd266b |
| institution | Directory Open Access Journal |
| issn | 2383-7837 2383-7845 |
| language | English |
| last_indexed | 2024-04-12T03:09:29Z |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Pathologists & the Korean Society for Cytopathology |
| record_format | Article |
| series | Journal of Pathology and Translational Medicine |
| spelling | doaj.art-5549fd7989ac4a1197e1f54681cd266b2022-12-22T03:50:24ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452022-09-0156529430010.4132/jptm.2022.07.2317039Heterotopic mesenteric ossification: a report of two casesHisham F. Bahmad0Olga Lopez1Tyson Sutherland2Marisa Vinas3Kfir Ben-David4Lydia Howard5Robert Poppiti6Sarah Alghamdi7 Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA Department of General Surgery, Mount Sinai Medical Center, Miami Beach, FL, USA Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USAHeterotopic mesenteric ossification (HMO) is abnormal bone formation in tissues which usually do not undergo ossification. There are approximately 75 cases reported worldwide. We present two cases of HMO. The first case is that of a 39-year-old man who presented with abdominal pain and a computerized tomography scan of the abdomen and pelvis revealed an apple core lesion resulting in small bowel obstruction. The second case is that of a 36-year-old woman who presented 2 months after undergoing robotic gastric sleeve resection complaining of weakness and emesis. An esophagogram revealed kinking at the distal esophagus. Surgical resection was performed in both, yielding the diagnosis of HMO. There are various theories as to the pathophysiology of HMO, but no clearly defined mechanism has been established. Management should be conservative whenever possible to prevent further ossification with subsequent surgical intervention.http://www.jpatholtm.org/upload/pdf/jptm-2022-07-23.pdfreportsheterotopicossificationmesenterystomachsmall bowel |
| spellingShingle | Hisham F. Bahmad Olga Lopez Tyson Sutherland Marisa Vinas Kfir Ben-David Lydia Howard Robert Poppiti Sarah Alghamdi Heterotopic mesenteric ossification: a report of two cases Journal of Pathology and Translational Medicine reports heterotopic ossification mesentery stomach small bowel |
| title | Heterotopic mesenteric ossification: a report of two cases |
| title_full | Heterotopic mesenteric ossification: a report of two cases |
| title_fullStr | Heterotopic mesenteric ossification: a report of two cases |
| title_full_unstemmed | Heterotopic mesenteric ossification: a report of two cases |
| title_short | Heterotopic mesenteric ossification: a report of two cases |
| title_sort | heterotopic mesenteric ossification a report of two cases |
| topic | reports heterotopic ossification mesentery stomach small bowel |
| url | http://www.jpatholtm.org/upload/pdf/jptm-2022-07-23.pdf |
| work_keys_str_mv | AT hishamfbahmad heterotopicmesentericossificationareportoftwocases AT olgalopez heterotopicmesentericossificationareportoftwocases AT tysonsutherland heterotopicmesentericossificationareportoftwocases AT marisavinas heterotopicmesentericossificationareportoftwocases AT kfirbendavid heterotopicmesentericossificationareportoftwocases AT lydiahoward heterotopicmesentericossificationareportoftwocases AT robertpoppiti heterotopicmesentericossificationareportoftwocases AT sarahalghamdi heterotopicmesentericossificationareportoftwocases |