J Acute Care Surg.  2023 Jul;13(2):78-79. 10.17479/jacs.2023.13.2.78.

A Xiphoid Elongation Following a Trauma Laparotomy: A Case Report

• Min SK
• Jeon S
• Lee J
• Choi KK
• Yang HJ

• KMID: 2544491
• DOI: http://doi.org/10.17479/jacs.2023.13.2.78

Abstract

Xiphoid elongation is a rare phenomenon where the xiphoid process elongates after stimuli such as surgery, physical therapy, or trauma. We report on a 47-year-old male involved in a traffic accident who went into cardiac arrest. He received ongoing cardiopulmonary resuscitation for nine minutes before recovery of cardiac rhythm, and transfer from a local hospital to the trauma center. He received management for hypotensive shock which was temporarily corrected using Resuscitative Endovascular Balloon Occlusion of the Aorta, and underwent trauma laparotomy in which ileocolic artery ligation and a splenectomy were performed. Six months later, the patient reported epigastric discomfort when he bent over. A hard, linear mass was palpated along the upper midline incision scar and a computed tomography scan showed an elongated xiphoid process (10 cm). The patient underwent surgical excision, and electrocauterization of the xiphoid process. This is a rare case of xiphoid elongation following multiple stimuli to the xiphoid process.

Keyword

laparotomy, ossification, trauma, xiphoid process