Zhang BF, Liu J, Zhang S, Chen L, Lu JZ, Zhang MQ. Heterotopic mesenteric ossification caused by trauma: A case report. World J Gastrointest Endosc 2024; 16(8): 494-499 [PMID: 39155994 DOI: 10.4253/wjge.v16.i8.494]
Corresponding Author of This Article
Ming-Qing Zhang, Doctor, Chief Doctor, Department of Gastroenterology, The 909th Hospital, School of Medicine, Xiamen University, No. 269 Zhanghua Middle Road, Zhangzhou 363000, Fujian Province, China. zmqing8084@sina.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Bi-Fang Zhang, Jiang Liu, Shuai Zhang, Ling Chen, Jia-Zheng Lu, Ming-Qing Zhang, Department of Gastroenterology, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou 363000, Fujian Province, China
Co-first authors: Bi-Fang Zhang and Jiang Liu.
Author contributions: Zhang BF and Liu J were responsible for data collation and writing of the actual manuscript; Zhang S and Chen L were responsible for manuscript editing; Lu JZ and Zhang MQ contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Supported byNatural Science Foundation of Fujian Province, China No. 2021J01545; Natural Science Foundation of Zhangzhou City, Fujian Province, China No. ZZ2021J25.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Qing Zhang, Doctor, Chief Doctor, Department of Gastroenterology, The 909th Hospital, School of Medicine, Xiamen University, No. 269 Zhanghua Middle Road, Zhangzhou 363000, Fujian Province, China. zmqing8084@sina.com
Received: May 26, 2024 Revised: July 2, 2024 Accepted: July 10, 2024 Published online: August 16, 2024 Processing time: 67 Days and 13.2 Hours
Abstract
BACKGROUND
Heterotopic mesenteric ossification (HMO) is a clinically rare condition characterized by the formation of bone tissue in the mesentery. The worldwide reporting of such cases is limited to just over 70 instances in the medical literature. The etiology of HMO remains unclear, but the disease is possibly induced by mechanical trauma, ischemia, or intra-left lower quadrant abdominal infection, leading to the differentiation of mesenchymal stem cells into osteoblasts. Here, we present a rare case of HMO that occurred in a 34-year-old male, who presented with left lower quadrant abdominal pain.
CASE SUMMARY
We report the case of a 34-year-old male patient who presented with left lower abdominal pain following trauma to the left lower abdomen. He subsequently underwent surgical treatment, and the postoperative pathological diagnosis was HMO.
CONCLUSION
We believe that although there is limited literature and research on HMO, when patients with a history of trauma or surgery to the left lower abdomen present with corresponding imaging findings, clinicians should be vigilant in distinguishing this condition and promptly selecting appropriate diagnostic and therapeutic interventions.
Core Tip: Due to the rarity of heterotopic mesenteric ossification (HMO), diagnosing this condition challenging. We report the case of a 34-year-old male who presented with left lower quadrant abdominal pain following left lower quadrant abdominal trauma, subsequently underwent laparoscopic resection for suspected bowel injury, and was ultimately diagnosed with HMO. We believe that although diagnosing HMO is challenging, the disease should be considered in patients with a history of trauma or surgery and corresponding imaging findings.
