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Recurrent heterotopic ossification following open radical nephrectomy
Journal article   Open access   Peer reviewed

Recurrent heterotopic ossification following open radical nephrectomy

Jordan R. Richards, Ian M. McElree, Joanna Orzel, Mark C. Smith and Vignesh T. Packiam
Urology case reports, Vol.50, 102515
08/2023
DOI: 10.1016/j.eucr.2023.102515
PMCID: PMC10432994
PMID: 37601832
url
https://doi.org/10.1016/j.eucr.2023.102515View
Published (Version of record) Open Access

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.

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