복강 내 수술 후 장간막에 발생한 이소골화
Heterotopic Mesenteric Ossification Following Intraabdominal Surgery
조민정, 기세국, 황윤진, 윤영국, 이수경,
소속 상세정보
조민정 ( Jo Min-Jung )
경북대학교 의과대학 외과학교실
기세국 ( Ki Sae-Guk )
경북대학교 의과대학 외과학교실
황윤진 ( Hwang Yoon-Jin )
경북대학교 의과대학 외과학교실
윤영국 ( Yeun Young-Guk )
경북대학교 의과대학 외과학교실
이수경 ( Lee Soo-Kyoung )
경북대학교 의과대학 병리학교실
KMID : 0371320030650040361
Abstract
Heterotopic mesenteric ossification is a very uncommon disorder that is characterized by new bone formation in the mesentery, which does not normally undergo ossification. A 52-year-old female experienced a small bowel obstruction 12 days after a segmental resection of the small bowel following a trauma. A laparotomy was performed 16 days after the initial operaton, and a 2 cm hard mass was detected in the small bowel mesentery, with severe fibrous adhesions around the mass, involving the jejunum, which required resection. Postoperatively, the patient developed an intraabdominal abscess, followed by intestinal fistulation. The patient gradually recoveredby conservative management, and left hospital 70 days after the first operation. Microscopic examination of the mass showed well oriented trabeculae of the osseous tissue, osteoid formation, with fine calcification and osteoblastic activity, but there was no formation of mature lamellar bone or clear evidence of the "zone phenomenor" that is classically described in heterotopic ossification. These findings appeared consistent with an early stage of heterotopic ossification. The etiology and pathogenesis are unknown; the heterotopic mesenteric ossification was thought to be associated with the trauma (intraabdominal surgery). The previous literature on heterotopic mesenteric ossification is reviewed, and a new case reported.
키워드
장간막 이소골화;장폐쇄;Heterotopic mesenteric ossification;Intestinal obstruction
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