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

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 u...

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Main Authors: Victoria Valinluck Lao, Oliver B. Lao, Edgar Figueredo
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2011/908514
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author Victoria Valinluck Lao
Oliver B. Lao
Edgar Figueredo
author_facet Victoria Valinluck Lao
Oliver B. Lao
Edgar Figueredo
author_sort Victoria Valinluck Lao
collection DOAJ
description 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.
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spelling doaj-art-270feb0db0194a87bc77e8702f7ed4852025-02-03T01:10:30ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362011-01-01201110.1155/2011/908514908514Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the LiteratureVictoria Valinluck Lao0Oliver B. Lao1Edgar Figueredo2Department of Surgery, University of Washington, Seattle, WA 98195, USADepartment of Surgery, University of Washington, Seattle, WA 98195, USADepartment of Surgery, University of Washington, Seattle, WA 98195, USAHeterotopic 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.http://dx.doi.org/10.1155/2011/908514
spellingShingle Victoria Valinluck Lao
Oliver B. Lao
Edgar Figueredo
Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
Case Reports in Gastrointestinal Medicine
title Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
title_full Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
title_fullStr Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
title_full_unstemmed Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
title_short Postoperative Bowel Perforation due to Heterotopic Ossification (Myositis Ossificans Traumatica): A Case Report and Review of the Literature
title_sort postoperative bowel perforation due to heterotopic ossification myositis ossificans traumatica a case report and review of the literature
url http://dx.doi.org/10.1155/2011/908514
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AT oliverblao postoperativebowelperforationduetoheterotopicossificationmyositisossificanstraumaticaacasereportandreviewoftheliterature
AT edgarfigueredo postoperativebowelperforationduetoheterotopicossificationmyositisossificanstraumaticaacasereportandreviewoftheliterature