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Direct Mouse Trauma/Burn Model of Heterotopic Ossification
07:01

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Published on: August 6, 2015

Bone in the belly: traumatic heterotopic mesenteric ossification.

Jonathan C Baker1, Christine O Menias, Sanjeev Bhalla

  • 1Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd. Campus Box 8131, St. Louis, MO 63110, USA. bakerjo@mir.wustl.edu

Emergency Radiology
|April 25, 2012
PubMed
Summary

Heterotopic mesenteric ossification is a rare complication of abdominal trauma where bone forms in the mesentery. Recognizing its imaging features is key to accurate diagnosis and management.

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Area of Science:

  • Radiology
  • Pathology
  • Trauma Surgery

Background:

  • Heterotopic mesenteric ossification (HMO) is an uncommon complication following abdominal trauma.
  • It involves bone formation in the mesenteric and omental fat, potentially leading to bowel obstruction and fistula formation.
  • Existing radiology literature on HMO is limited, contributing to under-recognition.

Purpose of the Study:

  • To review the imaging features of heterotopic mesenteric ossification.
  • To emphasize computed tomographic (CT) findings for diagnosis.
  • To increase radiologist awareness and reduce misdiagnosis.

Main Methods:

  • Review of imaging studies in patients with diagnosed heterotopic mesenteric ossification.
  • Emphasis on computed tomography (CT) findings.
  • Comparison with other pathologies that mimic HMO.

Main Results:

  • HMO can be mistaken for other conditions like barium leaks or bone-forming neoplasms.
  • CT findings are crucial for identifying HMO.
  • Under-recognition on imaging leads to diagnostic confusion.

Conclusions:

  • Radiologist awareness of HMO is critical for accurate diagnosis.
  • Timely and appropriate management depends on correct imaging interpretation.
  • CT plays a vital role in diagnosing this rare post-traumatic complication.