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Extensive Circumferential Heterotopic Ossification Discovered at the Base of a Loop Ileostomy
Ahmad Bosaily1, John Edminister1, Samarchitha Magal1
1College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA.
Case Reports in Surgery
|December 31, 2019
Summary
Heterotopic ossification is rare bone formation in soft tissues. This case details heterotopic mesenteric ossification (HMO) affecting an ileostomy, a rare variant discovered during stoma reversal surgery.
Area of Science:
- Medical Science
- Surgical Pathology
Background:
- Heterotopic ossification involves bone formation in soft tissues.
- Heterotopic mesenteric ossification (HMO) is a rare variant affecting the mesentery.
- Cases of HMO involving an ileostomy are exceptionally rare.
Observation:
- A 52-year-old male presented with an ileostomy.
- The patient had undergone fecal diversion due to perineal necrotizing fasciitis.
- HMO was discovered incidentally during elective stoma reversal.
Findings:
- The case presented is the fifth reported instance of HMO involving an ileostomy.
- This finding highlights a rare complication associated with ileostomies.
- Histopathological examination confirmed the presence of heterotopic bone within the ileostomy mesentery.
Implications:
- This case expands the understanding of HMO presentations.
- It underscores the importance of considering rare diagnoses in surgical pathology.
- Further research may elucidate the specific mechanisms and risk factors for HMO in ileostomies.
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