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[Heterotopic mesenteric ossification. Description of a case].

G Marucci1, L S Spitale, D J Piccinni

  • 1Dipartimento di Oncologia, Sezione di Anatomia, Istologia e Citologia Patologica M. Malpighi, Università di Bologna, Ospedale Bellaria, Argentina.

Pathologica
|February 24, 2001
PubMed
Summary

Heterotopic mesenteric ossification (HMO) is a rare condition where bone forms in the small intestine. This case highlights a young male patient who developed HMO after abdominal trauma, leading to repeated small bowel obstructions and the need for an ileostomy.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Heterotopic mesenteric ossification (HMO) is an extremely rare condition characterized by the formation of mature lamellar bone within the mesentery.
  • While ossification is common in bone, its occurrence in extraskeletal soft tissues is unusual, with limited documented cases.

Observation:

  • A 25-year-old male presented with a history of laparotomy due to a fire-arm injury.
  • Two weeks post-surgery, the patient developed symptoms of small bowel obstruction.
  • This necessitated multiple surgical interventions, including the removal of several segments of the small bowel.

Findings:

  • The patient experienced recurrent episodes of small bowel obstruction following the initial abdominal trauma and surgery.

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  • Over a nine-month period, the patient underwent five separate operations for these obstructions.
  • The persistent nature of the obstruction indicated a progressive underlying pathology, likely related to the initial injury and subsequent healing process.

    • Implications:

    • This case underscores the potential for heterotopic mesenteric ossification to cause severe and recurrent gastrointestinal complications.
    • The development of HMO in this context suggests a possible link between abdominal trauma, surgical intervention, and subsequent ectopic bone formation.
    • The patient's eventual need for a permanent ileostomy highlights the significant morbidity associated with this rare condition and the challenges in its management.