Zhang Bi-Fang, Liu Jiang, Zhang Shuai, Chen Ling, Lu Jia-Zheng, Zhang Ming-Qing
Department of Gastroenterology, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou 363000, Fujian Province, China.
World J Gastrointest Endosc. 2024 Aug 16;16(8):494-499. doi: 10.4253/wjge.v16.i8.494.
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.
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.
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.
异位肠系膜骨化（HMO）是一种临床罕见的病症，其特征是在肠系膜中形成骨组织。在医学文献中，全球范围内报道的此类病例仅略多于70例。HMO的病因尚不清楚，但该疾病可能由机械性创伤、缺血或左下腹部感染诱发，导致间充质干细胞分化为成骨细胞。在此，我们报告一例发生在一名34岁男性身上的罕见HMO病例，该患者表现为左下腹部疼痛。
我们报告一例34岁男性患者，其在左下腹部受到创伤后出现左下腹部疼痛。他随后接受了手术治疗，术后病理诊断为HMO。
我们认为，尽管关于HMO的文献和研究有限，但当有左下腹部创伤或手术史的患者出现相应的影像学表现时，临床医生应警惕鉴别这种情况，并及时选择合适的诊断和治疗干预措施。
