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ISSN 1405-0099 (Print)

2001, Number 1

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Cir Gen 2001; 23 (1)

Heterotopic ossification of surgical wounds from laparotomy. Presentation of three patients

Durán VHC, Luna MJ, Azamar GF, Pérez PFJ

Language: Spanish
References: 17
Page: 44-48
PDF size: 244.18 Kb.


ABSTRACT

Objective: To describe three cases of heterotopic ossification in the surgical wound after laparotomy.
Setting: Third level health care hospital.
Description of the cases: Three male patients, aged 24, 37, and 42 years, with a previous laparotomy due to Nissen-type fundoplication in one and necrosectomy due to acute severe pancreatitis in the other two patients, the first with a supraumbilical medial surgical scar and the other two with scars due to high abdominal transversal wounds. In the three, clinical data revealed pain at the wound site and palpation of a mass below the scar. Plain abdominal X ray showed in the first patient a zone with multiple radiopaque points at the surgical wound: the second patient was diagnosed with post-incisional hernia at the left end of the transversal scar, a 4 x 2 cm indurated zone was found during re-operation and was resected; in the third patient, the plain abdominal X ray revealed radiopaque regions of bony characteristics at the surgical wound. The lesion was resected in the three patients and they have evolved satisfactorily.
Conclusion: Heterotopic ossification is a lesion that can occur at the site of the scar from laparotomy surgical wounds.


REFERENCES

  1. Azkanazy M. Citado por Lubarsch O. Zur Kenntniss der Knochenbildung in Lunge und Pleura. Verhandl Deutsch Path Gesellsch. 1901; 3: 102.

  2. Seifert G. Haterotope (extraossare) Verkalkung (Kalzinose). Atiologie, Pathogenese und klinische Bedeutung. Pathologe 1997;18: 430-8.

  3. Goodman TA, Merkel PA, Perlmutter G, Doyle MK, Krane SM, Polisson RP. Heterotopic ossification in the setting of neuromusucular blockade. Arthritis Rheum 1997; 40: 1619-27.

  4. Richards AM, Klaassen MF. Heterotopic ossification after severe burns: a report of three cases and review of the literature. Burns 1997; 23: 64-8.

  5. Beauchamp NJ, Pizer E, Hruban RH, Fishman EK. Ossification of a rectal tumor: CT evaluation. J Comput Assist Tomogr 1997; 21: 671-3.

  6. Shimizu M, Nakayama M. Endometrial ossification in a postmenopausal woman. J Clin Pathol 1997; 50: 171-2.

  7. Pearson J, Clark OH. Heterotopic calcification in abdominal wounds. Surg Gynecol Obstet 1978; 146: 371-4.

  8. Reardon MJ, Tillou A, Mody DR, Reardon PR. Heterotopic calcification in abdominal wounds. Am J Surg 1997; 173: 145-7.

  9. Eidelman A, Waron M. Heterotopic ossification in abdominal operation scars. Arch Surg 1973; 107: 87-8.

  10. Apostolidis NS, Legakis NC, Gregoriadis GC, Androulakakis PA, Romanos AN. Heterotopic bone formation in abdominal operation scars. Report of six cases with review of the literature. Am J Surg 1981; 142: 555-9.

  11. Jacobs JE, Birnbaum BA, Siegelman ES. Heterotopic ossification of midline abdominal incisions: CT and MR imaging findings. AJR Am J Roentgenol 1996; 166: 579-84.

  12. Wong J, Loewenthal J. Heterotopic bone formation in abdominal scars. Surg Gynecol Obstet 1975; 140: 893-5.

  13. Rohl K, Bosse A, Bötel U. Ungewohnliche Lokalisation einer heterotopen Ossifikation im Bereich einer Laparotomienarbe. Unfallchirurg 1993; 96: 662-4.

  14. Bosse A. Klinik, Differentialdiagnose und Histogenese der heterotopen Ossifikation. Veroff Pathol 1997;146:1-168.

  15. Kaysinger KK, Ramp WK, Lang GJ, Gruber HE. Comparison of human osteoblasts and osteogenic cells from heterotopic bone. Clin Orthop 1997; 324: 181-91.

  16. Namias N, Sleeman D. Penetrating trauma secondary to heterotopic ossification in a laparotomy scar: a case report. Can J Surg 1996; 39: 504-6.

  17. Charles J, Hunt JA. Heterotopic bone formation in abdominal incisions. Hawaii Med J 1992; 51: 65-9.




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