Recurrent heterotopic ossification following open radical nephrectomy

Jordan R Richards; Ian M McElree; Joanna Orzel; Mark C Smith; Vignesh T Packiam

doi:10.1016/j.eucr.2023.102515

Recurrent heterotopic ossification following open radical nephrectomy

Urol Case Rep. 2023 Aug 5:50:102515. doi: 10.1016/j.eucr.2023.102515. eCollection 2023 Sep.

Authors

Jordan R Richards¹, Ian M McElree², Joanna Orzel¹, Mark C Smith¹, Vignesh T Packiam¹

Affiliations

¹ University of Iowa Hospitals and Clinics, Department of Urology, USA.
² University of Iowa Carver College of Medicine, USA.

Abstract

A 46-year-old male presented with a localized left renal mass and underwent an open radical nephrectomy via a midline incision. He recovered uneventfully and was discharged. After one month he reported persistent incisional pain; CT demonstrated heterotopic bone formation under the fascial closure. He underwent resection of calcified preperitoneal fat. Final pathology revealed benign bone tissue. He received a course of celecoxib. The patient developed recurrence of a smaller calcification. He underwent a second resection and was treated with adjuvant radiation. The patient had improvement of pain and no ossification visualized on CT imaging at 1-year follow up.

Publication types

Case Reports