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Updated: Apr 27, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Mesenteric calcification following abdominal stab wound.

Caitlin W Hicks¹, Catherine G Velopulos¹, Justin M Sacks²

¹Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD 21287, United States.

International Journal of Surgery Case Reports

|July 2, 2014

Summary

Heterotopic ossification (HO) is rare bone formation in the mesentery, often after abdominal trauma or surgery. Surgical excision of mesenteric HO during hernia repair can prevent future bowel obstruction.

Keywords:

Heterotopic mesenteric ossification Heterotopic ossification Trauma Traumatic myositis ossificans Ventral hernia

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Area of Science:

Abdominal Surgery
Surgical Pathology
Radiology

Background:

Heterotopic ossification (HO) involves bone formation in non-ossifying tissues.
Mesenteric HO is a rare variant, presenting as an ossifying pseudotumor at the mesentery's base, often post-abdominal surgery.

Purpose of the Study:

To describe a case of mesenteric HO in a young male.
To highlight the surgical management and outcomes of this rare condition.

Main Methods:

Case report of a young male undergoing ventral incisional hernia repair.
Intraoperative identification and excision of a mesenteric ossifying lesion.
Concurrent hernia repair.

Main Results:

A bone-like lesion encircling the mesentery base was identified and excised.
Hernia repair was completed without complications.
The patient had a good outcome following surgical excision.

Conclusions:

Traumatic HO can occur in the abdomen, typically after trauma or surgery.
Mesenteric HO poses a risk of bowel obstruction due to its size and location.
Surgical excision is an effective treatment for symptomatic mesenteric HO.