1. A case report of heterotopic ossifications in abdominal incision scar.
- Author
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Soltani, Hedieh, Faraji, Fatemeh, Khabiri, Saba, Davoodzadeh, Mona, Hashemi, Seyedeh Hamideh, and Bagherpour, Javad Zebarjadi
- Abstract
Heterotopic ossification (HO) develops when bone formation appears in soft tissues, usually after an injury or major surgery. Timely and accurately diagnosing of this rare event is essential due to the possibility of misdiagnosis as a maintained foreign body, infection, incisional neoplastic recurrence, and metastatic or primary neoplasms. In this study, we present a 57-year-old man who was operated for peritonitis due to perforated appendicitis, and an asymptomatic HO was accidentally found on an incisional line of previous open prostatectomy about 5 years earlier due to benign prostatic hyperplasia. A bone density lesion was seen in the fascia and on the incisional scar of previous surgery. HO rarely occurs within an abdominal incision due to surgery. It is reported only within vertical midline incisions and mainly within the first year after the operation. Imaging confirms the diagnosis of HO in previous abdominal surgery scars, which reveals dense vertical calcification along the previous incisional scar. In the case of HO, the exclusive effective management is the entire surgical excision with primary closure, and NSAIDs are the preventive choices. HO should be considered in patients presenting with discomfort or palpable mass or even asymptomatic patients with previous abdominal surgeries besides considering relative history such as surgical complications or neoplasms. • Heterotopic ossification (HO) may be accidentally found on the incisional scar of previous abdominal surgery in asymptomatic patients. • Computed Tomography (CT) scan is useful in distinguishing HO from other similar surgical complications such as infection and maintained foreign body, intra-incisional mass, and metastatic or primary neoplasms with considering the patient's history, and is useful in deciding on surgical management. • The main HO management is the entire surgical excision with primary closure. • For prevention of HO post abdominal midline incision surgeries or recurrence after primary excisional management of previous HO, non-steroidal anti-inflammatories or external radiotherapy, can be considered. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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