Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report
Heterotopic bone formation within an abdominal incision is a rare sequela of abdominal surgery. Only a few previous reports have noted heterotopic ossification in the mesentery of the small intestine and periileostomy. Here, we report the case of a 60-year-old man who underwent emergent laparotomy a...
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| Format: | Article |
| Language: | English |
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Elsevier
2007-01-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664609603508 |
| _version_ | 1828399588933894144 |
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| author | Huang-Jen Lai Shu-Wen Jao Tsai-Yu Lee Jing-Jim Ou Jung-Cheng Kang |
| author_facet | Huang-Jen Lai Shu-Wen Jao Tsai-Yu Lee Jing-Jim Ou Jung-Cheng Kang |
| author_sort | Huang-Jen Lai |
| collection | DOAJ |
| description | Heterotopic bone formation within an abdominal incision is a rare sequela of abdominal surgery. Only a few previous reports have noted heterotopic ossification in the mesentery of the small intestine and periileostomy. Here, we report the case of a 60-year-old man who underwent emergent laparotomy and total colectomy with end ileostomy and developed this condition 1 month postoperatively. Heterotopic ossification in the peri-ileostomy tissue caused stenosis of the ileostoma. Laparotomy for re-anastomosis due to a large bone formation at an abdominal midline scar is very difficult and results in a massive abdominal wall defect. Therefore, we used a lower transverse incision to avoid the site of bone formation and resected the terminal ileum with its ossified mesentery. Then, we successfully carried out an anastomosis between the ileum and the rectum. The possible pathogenesis is a metaplastic mechanism of differentiation of immature multipotent mesechymal cells. Our case provides the experience of treatment and new perspective on currently held hypotheses of heterotopic bone formation. [J Formos Med Assoc 2007;106(2 Suppl):S32-S36] |
| first_indexed | 2024-12-10T09:18:35Z |
| format | Article |
| id | doaj.art-8233857d3a7e477cbae178019f0434e6 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-10T09:18:35Z |
| publishDate | 2007-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-8233857d3a7e477cbae178019f0434e62022-12-22T01:54:45ZengElsevierJournal of the Formosan Medical Association0929-66462007-01-011062S32S3610.1016/S0929-6646(09)60350-8Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case ReportHuang-Jen Lai0Shu-Wen Jao1Tsai-Yu Lee2Jing-Jim Ou3Jung-Cheng Kang4Division of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, TaiwanDivision of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, TaiwanDivision of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, TaiwanDivision of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, TaiwanDivision of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, TaiwanHeterotopic bone formation within an abdominal incision is a rare sequela of abdominal surgery. Only a few previous reports have noted heterotopic ossification in the mesentery of the small intestine and periileostomy. Here, we report the case of a 60-year-old man who underwent emergent laparotomy and total colectomy with end ileostomy and developed this condition 1 month postoperatively. Heterotopic ossification in the peri-ileostomy tissue caused stenosis of the ileostoma. Laparotomy for re-anastomosis due to a large bone formation at an abdominal midline scar is very difficult and results in a massive abdominal wall defect. Therefore, we used a lower transverse incision to avoid the site of bone formation and resected the terminal ileum with its ossified mesentery. Then, we successfully carried out an anastomosis between the ileum and the rectum. The possible pathogenesis is a metaplastic mechanism of differentiation of immature multipotent mesechymal cells. Our case provides the experience of treatment and new perspective on currently held hypotheses of heterotopic bone formation. [J Formos Med Assoc 2007;106(2 Suppl):S32-S36]http://www.sciencedirect.com/science/article/pii/S0929664609603508ectopic bone formationheterotopic ossificationintra-abdominalmesenteric ossificationmyositis ossificans |
| spellingShingle | Huang-Jen Lai Shu-Wen Jao Tsai-Yu Lee Jing-Jim Ou Jung-Cheng Kang Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report Journal of the Formosan Medical Association ectopic bone formation heterotopic ossification intra-abdominal mesenteric ossification myositis ossificans |
| title | Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report |
| title_full | Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report |
| title_fullStr | Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report |
| title_full_unstemmed | Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report |
| title_short | Heterotopic Mesenteric Ossification After Total Colectomy for Bleeding Diverticulosis of the Colon—A Rare Case Report |
| title_sort | heterotopic mesenteric ossification after total colectomy for bleeding diverticulosis of the colon a rare case report |
| topic | ectopic bone formation heterotopic ossification intra-abdominal mesenteric ossification myositis ossificans |
| url | http://www.sciencedirect.com/science/article/pii/S0929664609603508 |
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