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Heterotopic bone formation in abdominal midline scars
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|October 1, 1983
Summary
Heterotopic bone formation can occur in upper abdominal midline scars, causing pressure symptoms in patients. This condition, more common in men, is typically diagnosed via X-ray and may require surgical intervention.
Area of Science:
- Abdominal Surgery
- Surgical Pathology
- Radiology
Background:
- Heterotopic bone formation in vertical upper abdominal midline scars is a rare occurrence.
- Such bone formation can lead to significant patient discomfort and pressure symptoms.
Purpose of the Study:
- To report on fifteen patients experiencing heterotopic bone formation in upper abdominal midline scars.
- To describe the clinical presentation, surgical findings, and diagnostic methods for this condition.
Main Methods:
- Case series reporting on fifteen patients with heterotopic bone formation in abdominal scars.
- Review of clinical symptoms, surgical procedures, and radiological findings.
Main Results:
- Fifteen patients with heterotopic bone formation in upper midline abdominal scars were identified.
- All patients reported pressure symptoms, with seven undergoing surgery.
- The bone formation was consistently found between the fascia and peritoneum, attached to the fascia.
- Ossification of upper midline abdominal scars is approximately ten times more prevalent in men than in women.
- Radiological diagnosis is straightforward using plain roentgenography or oblique abdominal views.
Conclusions:
- Heterotopic bone formation in upper abdominal midline scars is a distinct entity causing pressure symptoms.
- The condition is more common in males and can be diagnosed radiologically.
- Surgical excision is an effective treatment for symptomatic cases.