Heterotopic Ossification of the Xiphoid Process after Abdominal Surgery for Traumatic Hemoperitoneum

J Korean Med Sci. 2018 Feb 12;33(7):e62. doi: 10.3346/jkms.2018.33.e62.

Abstract

Heterotopic ossification of the xiphoid process is extremely rare, with only three cases previously reported. However, the surgical pathology for postoperative elongation of the xiphoid process after abdominal surgery has not yet been reported. We report a case of the postoperative elongation of the xiphoid process, 8 years after abdominal surgery for traumatic hemoperitoneum in a 53-year-old man. The patient underwent surgical excision of the elongated mass of the xiphoid process. Histopathology revealed multiple exostoses. Heterotopic ossification can occur after surgical trauma to soft or bone tissue. Surgical excision with primary closure is the treatment of choice for symptomatic heterotopic ossification.

Keywords: Exostoses; Heterotopic; Ossification; Traumatic Injury; Xiphoid Bone.

Publication types

  • Case Reports

MeSH terms

  • Exostoses, Multiple Hereditary / pathology
  • Hemoperitoneum / diagnosis*
  • Humans
  • Male
  • Middle Aged
  • Ossification, Heterotopic
  • Tomography, X-Ray Computed
  • Xiphoid Bone / diagnostic imaging
  • Xiphoid Bone / pathology