Nonsurgical treatment of postoperative intestinal obstruction caused by heterotopic ossification of the mesentery:A case report  

作　　者：Jing-Tian Chen Yao-Ping Li Shang-Qi Guo Jin-Sheng Huang Yong-Gang Wang 

机构地区：[1]Department of Colorectal and Anal Surgery,Shanxi Provincial People’s Hospital,Shanxi Medical University,Taiyuan 030012,Shanxi Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期385-390,共6页世界胃肠外科杂志(英文)

基　　金：Supported by Major Basic Research Project of Shanxi Provincial Natural Science Foundation,No.202203021221185 and No.202103021224379.

摘　　要：BACKGROUND Among all forms of heterotopic ossification,heterotopic mesenteric ossification(HMO)is rare,with fewer than 100 reported cases to date.Postoperative early small bowel obstruction caused by HMO is even rarer,presenting extremely high surgical risks,the potential for multiple surgeries,and a poor prognosis.There have been no reported cases of conservative treatment for resolving such early postoperative obstruction.CASE SUMMARY A 57-year-old male presented with severe postoperative small bowel obstruction shortly after undergoing open radical resection for transverse colon cancer.Laparotomy revealed extensive adhesions in the proximal jejunum and mesen-tery,making it too difficult to relieve without injuring the small bowel.Addi-tionally,multiple fixed nodules were found in the mesentery during the opera-tion.Pathology confirmed the presence of heterotopic ossification.The patient was treated with methylprednisolone on postoperative day 1,which gradually relieved his symptoms.CONCLUSION Hormone therapy may have a potential role in treating small bowel obstruction caused by early HMO after operative intervention.

关 键 词：Heterotopic mesenteric ossification Hormone therapy Bowel obstruction METHYLPREDNISOLONE Surgery Case report 

分 类 号：R68[医药卫生—骨科学]