Heterotopic mesenteric ossification after total colectomy for bleeding diverticulosis of the colon--a rare case report.
J Formos Med Assoc
; 106(2 Suppl): S32-6, 2007 Feb.
Article
en En
| MEDLINE
| ID: mdl-17493894
ABSTRACT
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 peri-ileostomy. 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 mesenchymal cells. Our case provides the experience of treatment and new perspective on currently held hypotheses of heterotopic bone formation.
Buscar en Google
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Osificación Heterotópica
/
Colectomía
/
Diverticulosis del Colon
/
Mesenterio
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2007
Tipo del documento:
Article