Abdomen congelado complicado con osificación peritoneal heterotópica de la línea media: reporte de un caso

Abstract

Background: Heterotopic ossification consists in abnormal differentiation of mesenchymal cells into osteoblastic cells, which may occur in the abdominal cavity. Case report: A 54-year-old male who presents with small bowel obstruction, performing a laparotomy, adhesiolysis, and managed with an open abdomen with Bogota bag; the abdominal wall was closed on the 5th post-operative day. Due to recurrent symptoms of intestinal obstruction, he required a re-laparotomy after 14 days, finding a frozen abdomen with midline calcified peritoneum. Conclusion: This entity is a rare benign form of ossification, associated with an inflammatory environment due to trauma after multiple abdominal interventions.

Keywords

• Frozen abdomen. Heterotopic ossification. Peritoneum ossification. Small bowel obstruction.