Del Pozzo-Magaña JA, Soto-Dávalos BA, Hernández-Rivero D, Mata-Quintero CJ, Luna-Martínez J

Language: Spanish
References: 36
Page: 248-252
PDF size: 167.30 Kb.

ABSTRACT

Objective: To report a case of bowel obstruction with previous open abdomen with a transoperatory finding of mesenteric heterotopic ossification as the cause of obstruction, and its surgical treatment.
Design: Case report.
Description of the case: A 30-year-old male patient with a history of acute severe pancreatitis treated with open abdomen technique at the age of 22 and several cases of bowel obstruction treated medically. At admission, he presents acute abdomen with bowel obstruction and is treated with exploratory laparotomy, finding bowel perforation and mesenteric involvement caused by pointed bony splinters. Bowel resection and a second look surgery 72 h postoperatively are performed. Ischemic bowel derangement is found and a new bowel resection is performed, the bony fragments are resected also, an open abdomen technique is indicated and the abdominal wall is closed afterwards.
Conclusion: Mesenteric heterotopic ossification (MHO) is a rare entity that presents abdominal trauma as common trait, mostly of surgical nature, and can depict features of bowel obstruction and acute abdomen due to mechanical causes requiring emergency treatment. The resective treatment of the new bone formation, when this is the cause of bowel obstruction, is feasible; nonetheless, this requires experience and a multidisciplinary team.

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