Heterotopic mesenteric ossification of ileostomy - "intraabdominal myositis ossificans".
Rom J Morphol Embryol
; 57(1): 277-81, 2016.
Article
em En
| MEDLINE
| ID: mdl-27151721
ABSTRACT
UNLABELLED Heterotopic mesenteric ossification is a rare clinical entity with less than 40 reported cases. Moreover, heterotopic mesenteric ossification around a stoma is described in fewer cases. CASE PRESENTATION An 81-year-old male patient, who underwent a sigmoidectomy two years ago for a sigmoid colon cancer, was admitted in our Department in order to be investigated for a local recurrence of his disease. Because of unresectable pelvic lesions, the patient was taken in the operating room for a palliative double barrel ileostomy. The patient presented two weeks after the ileostomy clinical signs suggesting its obstruction. A revision of the ileostomy is performed. Macroscopically, the end part of the ileostomy was inflamed and resected. Histological findings revealed heterotopic ossification of the mesentery. CONCLUSIONS:
The surgeon should be alert to the possibility of heterotopic ossification, especially within a previously operated wound and be prepared for the difficulties it may cause during reopening of an incision, during the operation itself, at closure of the wound and, if not removed, also in the postoperative setting.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ileostomia
/
Ossificação Heterotópica
/
Mesentério
/
Miosite Ossificante
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Rom J Morphol Embryol
Assunto da revista:
ANATOMIA
/
EMBRIOLOGIA
Ano de publicação:
2016
Tipo de documento:
Article