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

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

Affiliations
  • 1Department of Cardiology, Daegu Catholic University Medical Center, Daegu, Korea. jblee@cu.ac.kr
  • 2Department of Thoracic Surgery, Daegu Catholic University Medical Center, Daegu, Korea.

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.

Keyword

Xiphoid Bone; Exostoses; Traumatic Injury; Ossification; Heterotopic

MeSH Terms

Bone and Bones
Exostoses
Exostoses, Multiple Hereditary
Hemoperitoneum*
Humans
Middle Aged
Ossification, Heterotopic*
Pathology, Surgical
Xiphoid Bone
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