Heterotopic mesenteric ossification as a cause of persistent enterocutaneous fistula: Overview of the literature and addition of a new case

J. F. Reynoso, D. Christensen, R. Latifi

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Background: Heterotopic mesenteric ossification (HMO) is rare condition with unclear multifactorial etiology. When presented with enterocutaneous fistulae, HMO may be devastating for the patient. Methods: We herein present the case of a 59-yearold woman with persistent enterocutaneous fistula secondary to heterotopic mesenteric ossification, which developed after a complicated gynecologic laparoscopic oophorectomy, abdominal sepsis, multiple small-bowel resections, and skin grafting for an open abdomen. Results: Nonoperative management with nil per os status and total parenteral nutrition of her fistulae was unsuccessful. The patient subsequently underwent en masse resection of her mesenteric ossification with associated small and large intestine. Conclusions: This case represents a rare occurrence of chronic enterocutaneous and/or enteroatmospheric fistulae secondary to heterotopic mesenteric ossification. Diagnosis, treatment, and histologic appearance of heterotopic mesenteric ossification are discussed in a review of the literature.

Original languageEnglish (US)
Pages (from-to)285-290
Number of pages6
JournalEuropean Surgery - Acta Chirurgica Austriaca
Volume44
Issue number4
DOIs
StatePublished - Aug 1 2012

Keywords

  • Abdominal sepsis
  • Abdominal surgery
  • Complicated laparoscopic oophorectomy
  • Enterocutaneous fistulae
  • Heterotopic mesenteric ossification
  • Intra-abdominal myositis ossificans
  • Mesenteritis ossificans
  • Multiple small-bowel resections
  • Open abdomen
  • Short gut syndrome

ASJC Scopus subject areas

  • Surgery

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