Location of Repository

Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature

By Victoria Valinluck Lao, Oliver B. Lao and Edgar Figueredo

Abstract

Heterotopic ossification (HO) is the ectopic development of normal bone within soft tissue that can occur after traumatic injury. It is uncommon and may be missed or misdiagnosed, which can lead to complications. We report the case of an 84-year-old male with a previous history of a laparotomy who underwent resection of an intra-abdominal tumor through a midline incision. On postoperative day six, the patient was taken to the operating room, as succus was draining from the incision. Upon re-exploration, sharp bone-like material was found in the wound directly adjacent to an enterotomy. Pathology confirmed mature lamellar bone and the diagnosis of HO. This is the first report of postoperative intestinal perforation secondary to HO in a midline wound. We report this case to encourage accurate reporting of HO and its morbidity and complications for the benefit of appropriate surgical planning and epidemiologic tracking of outcomes

Topics: Case Report
Publisher: Hindawi Publishing Corporation
OAI identifier: oai:pubmedcentral.nih.gov:3350174
Provided by: PubMed Central
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.pubmedcentral.nih.g... (external link)
  • Suggested articles

    Preview

    Citations

    1. (2008). C o m o ,C .J .Y o w l e r ,a n dM .A .M a l a n g o n i ,“ E x t e n s i v eh e t -erotopic mesenteric ossification after penetrating abdominal trauma,”
    2. (1992). Heterotopic bone formation in abdominal incisions,”
    3. (1977). Heterotopic bone formation in upper midline abdominal incisions,”
    4. (1972). Heterotopic calcification following burns: a prospective study,”
    5. (1997). Heterotopic calcification in abdominal wounds,”
    6. (2003). Heterotopic calcification in burn scars and non-healing ulcers,”
    7. (1976). Heterotopic calcification within rectus sheath. Following laparotomy,”
    8. (2008). Heterotopic ossification after blunt abdominal trauma,”
    9. (1973). Heterotopic ossification in abdominal operation scars,”
    10. (1949). Heterotopic ossification in abdominal wall,”
    11. Heterotopic ossification in the brachium secondary to unusual trauma,”
    12. (1980). Heterotopic ossification in upper midline abdominal scars,”
    13. (2004). Heterotopic ossification,”
    14. (2005). Heterotopic ossification: a review,”
    15. (1969). Heterotopic ossification. A clinical study of its possible relationship to trauma,” Paraplegia,v o l .7 ,n o .3 ,p p .
    16. (1996). J.E.Jacobs,B.A.Birnbaum,andE.S.Siegelman,“Heterotopic ossification of midline abdominal incisions:
    17. (1981). J.J.Eckardt,J.C.Ivins,H.O.Perry,andK.K.Unni,“Osteosarcoma arising in heterotopic ossification of dermatomyositis: case report and review of the literature,”
    18. (2007). L.Samad,M.Arif,andZ.Zaidi,“Extraosseousboneformation in the renal pelvis,”
    19. (1999). Mature bone metaplasia in abdominal wall scar,”
    20. (1976). Myositis ossificans traumatica in a young child. Ac a s er e p o rt ,
    21. (2000). Myositis ossificans traumatica in young children: report of three cases and review of the literature,” Pediatric Radiology,
    22. (2009). Myositis ossificans traumatica of the abdominal wall,”
    23. (2007). Myositis ossificans traumatica of thehand,”CanadianJournalofSurgery,vol.50,no.6,pp.E21– 22,
    24. (1999). Myositis ossificans traumatica of themedialpterygoidmuscle,”JournalofOralandMaxillofacial Surgery,
    25. (1999). Osteosarcoma arising from heterotopic ossification after an electrical burn: a case report,”
    26. (1996). Penetrating trauma secondary to heterotopic ossification in a laparotomy scar: a case report,”
    27. (1985). Resection of heterotopic ossification in the adult with head trauma,”
    28. (2010). S h a h ,V .M .M o n c a y o ,R .D .S m i t s o n ,C .P i e r r e - J e r o m e
    29. (1999). y s a l ,O .Ba y s a l ,K .S a ra c ,N .E l m a l i ,R .K u t l u ,a n dY .E r s o y , “Cervical myositis ossificans traumatica: a rare location,”

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.