Volume 32, Issue 2 (May 2021)
Studies in Medical Sciences 2021, 32(2): 144-148 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Javanmard F, Sadeghpour S, Banihashemi Z. Heterotopic Mesenteric Ossification, Co-incidentally found with a Ruptured Tubo-ovarian Abscess: A Case Report. Studies in Medical Sciences 2021; 32 (2) :144-148
URL: http://umj.umsu.ac.ir/article-1-5261-en.html
URL: http://umj.umsu.ac.ir/article-1-5261-en.html
Asistant professor Pathology,Urmia University of medical sciences, Urmia, Iran (Corresponding Author) , farzanehjavanmard@yahoo.com
Abstract: (3243 Views)
Heterotopic mesenteric ossification is a rare bone-like lesion located inside the abdominal cavity. Its etiology is unclear but most of the patients had a history of abdominal trauma or surgical operation.
In this study, we present the case of a 29-year old woman admitted with acute abdominal pain and fever that underwent emergency laparotomy. She had a history of recurrent pelvic inflammatory disease and surgical appendectomy. During a laparotomy, a massive left tubo-ovarian abscess was seen and drained out. There was also a hard mass-like lesion measuring 2×1cm attached to the mesentery that was excised and sent for pathologic evaluation. The patient was discharged in good general condition.
Microscopic evaluation of the mass in hematoxylin and eosin stained section revealed a structure consisting of bony trabeculae and fibroblastic proliferation.
This case represents a rare simultaneous occurrence of mesenteric ossification with a ruptured tubo-ovarian abscess that due to a history of recurrent inflammatory disease introduce inflammatory prosess as a possible cause of heterotopic mesenteric ossification.
In this study, we present the case of a 29-year old woman admitted with acute abdominal pain and fever that underwent emergency laparotomy. She had a history of recurrent pelvic inflammatory disease and surgical appendectomy. During a laparotomy, a massive left tubo-ovarian abscess was seen and drained out. There was also a hard mass-like lesion measuring 2×1cm attached to the mesentery that was excised and sent for pathologic evaluation. The patient was discharged in good general condition.
Microscopic evaluation of the mass in hematoxylin and eosin stained section revealed a structure consisting of bony trabeculae and fibroblastic proliferation.
This case represents a rare simultaneous occurrence of mesenteric ossification with a ruptured tubo-ovarian abscess that due to a history of recurrent inflammatory disease introduce inflammatory prosess as a possible cause of heterotopic mesenteric ossification.
Type of Study: case report |
Subject:
پاتولوژی
References
1. Vytlacil C, Sherwood N, Silverman J. Heterotopic Mesenteric Ossification: A Rare Benign Pseudotumor. Am J clin pathol 2015;144(suppl-2):A364. [DOI:10.1093/ajcp/144.suppl2.364]
2. Celik SU, Senocak R, Hancerliogullari O. Heterotopic mesenteric and omental ossification incidentally found in a patient with multiple abdominal surgical operations because of gunshot injury. Ulus Travma Derg 2019;25(5):531-4. [DOI:10.5505/tjtes.2018.44014]
3. Patel RM, Weiss SW, Folpe AL. Heterotopic mesenteric ossification: a distinctive pseudosarcoma commonly associated with intestinal obstruction. Am J Surg Pathol 2006;30(1):119-22. [DOI:10.1097/01.pas.0000184820.71752.20] [PMID]
4. Binesh F, Akhavan A, Navabii H, Ostadi M. Heterotopic mesenteric ossification: report of a case and review of the literature. BMJ Case Rep 2012; 2012:bcr0220125793. [DOI:10.1136/bcr-02-2012-5793] [PMID] [PMCID]
5. Ioannidis O, Sekouli A, Paraskevas G, Kotronis A, Chatzopoulos S, Papadimitriou N et al. Intra-abdominal heterotopic ossification of the peritoneum following traumatic splenic rupture. J Res Med Sci 2012; 17(1): 92-5. [PMID] [PMCID]
6. Shi X, Zhang W, Nabieu PF, Zhao W, Fu C. Early postoperative heterotopic omental ossification: report of a case. Surg Today 2011;41(1):137-40. [DOI:10.1007/s00595-009-4213-4] [PMID]
7. Reynoso JF,Christense D,Latifi R. Heterotopic mesenteric ossification as a cause of persistent enterocutaneous fistula.Eur J Surg 2012;44:285-90. [DOI:10.1007/s10353-011-0020-4]
8. Lai HJ, Jao SW,TY Lee, Ou JJ, Kang JC. Heterotopic mesenteric ossification after total colectomy for bleeding diverticulosis of colon: A rare case report. J Formos Med Assoc 2007; 106 (2):532-6. [DOI:10.1016/S0929-6646(09)60350-8]
9. Lao VV, Lao OB, Figueredo E. Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature. Case Rep Gastrointest Med 2011:908514. [DOI:10.1155/2011/908514] [PMID] [PMCID]
10. Bosaily A, Edminister J, Magal S, Jamil M, Lynn A, Hall G. Extensive Circumferential Heterotopic Ossification Discovered at the Base of a Loop Ileostomy. Case Rep Surg 2019; 2019: 4036716. [DOI:10.1155/2019/4036716] [PMID] [PMCID]
11. Mujtaba B, Taher A, Fiala MJ, Nassar S, Madewell JE, Hanafy AK et al. Heterotopic ossification: radiological and pathological review. Radiol Oncol 2019;53(3):275-84. [DOI:10.2478/raon-2019-0039] [PMID] [PMCID]
12. Torgersen Z, Osmolak A, Bikhchandani J, Forse R. Ectopic Bone in the Abdominal Cavity: A Surgical Nightmare.J Gastrointest Surg 2013; 17(9):1708-11. [DOI:10.1007/s11605-013-2228-z] [PMID]
13. Merrell J, Sadro C, Chew F. Heterotopic Mesenteric Ossification after Blunt Abdominal Trauma and Multiple Surgical Operations. Radiol Case Rep 2008;3(4):243. [DOI:10.2484/rcr.v3i4.243] [PMID] [PMCID]
14. Michael A, Narasimman S, Jasjit Singh N. Mesenteric bones: Intra-abdominal heterotopic ossification. Med J Malaysia 2018;73(2):110-1. [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
