Abstract
Heterotopic mesenteric ossification is an unusual but important complication in patients who sustain blunt and penetrating abdominal trauma. In this condition, bone formation occurs in the mesenteric and omental fat in response to injury and may result in serious complications such as bowel obstruction and fistula formation. Although a few case reports exist, the radiology literature on this topic is scant. Based on our experience, this entity is under-recognized on imaging studies and often results in diagnostic confusion due to its resemblance to other pathologies such as barium leak and extraskeletal bone-forming neoplasms. This review highlights the imaging features of heterotopic mesenteric ossification with an emphasis on computed tomographic findings. Radiologist awareness of this condition is crucial to avoid misdiagnosis as well as to direct appropriate and timely management.
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Abbreviations
- HMO:
-
Heterotopic mesenteric ossification
References
Kaplan FS, Glaser DL, Hebela N, Shore EM (2004) Orthopedic Research Society special article: heterotopic ossification. J Am Acad Orthop Surg 12:116–125
Jacobs JE, Birnbaum BA, Siegelman ES (1996) Heterotopic ossification of midline abdominal incisions: CT and MR imaging findings. AJR 166:579–584
Shi X et al (2011) Early postoperative heterotopic omental ossification: report of a case. Surg Today 41:137–140
Yushuva A et al (2010) Heterotopic mesenteric ossification following gastric bypass surgery: case series and review of literature. Obes Surg 20:1312–1315
Davis AK et al (2008) Heterotopic ossification after blunt abdominal trauma. J Trauma 65:1536–1539
Gouello JP et al (2006) Early post-traumatic heterotopic mesenteric ossification: report of a case. Intensive Care Med 32:950–951
Tonino BAR, van der Meulen HGWM, Kuijpers KC, Mallens WMC, van Gils APG (2005) Heterotopic mesenteric ossification: a case report. Eur Radiol 15:195–197
Zamolyi RQ, Souza P, Nascimento AG, Unni KK (2006) Intraabdominal myositis ossificans: a report of 9 new cases. Int J Surg Pathol 14:37–41
Hakim M, McCarthy EF (2001) Heterotopic mesenteric ossification. AJR 176:260–261
Baird EO, Kang QK (2009) Prophylaxis of heterotopic ossification—an updated review. J Orthop Surg Res 4:12
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Baker, J.C., Menias, C.O. & Bhalla, S. Bone in the belly: traumatic heterotopic mesenteric ossification. Emerg Radiol 19, 429–436 (2012). https://doi.org/10.1007/s10140-012-1042-3
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DOI: https://doi.org/10.1007/s10140-012-1042-3