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Minor S, Rowe J, Hoogerboord M. Dystrophic calcification within biologic graft occurring with use of calcium sulfate antibiotic beads masquerading as an enteric fistula. J Surg Case Rep 2022; 2022:rjac270. [PMID: 35721267 PMCID: PMC9202568 DOI: 10.1093/jscr/rjac270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 05/19/2022] [Indexed: 11/12/2022] Open
Abstract
Abstract
The rare (<2%) development of calcium deposits in soft tissue, known as dystrophic calcification (DC) with the use of Stimulan® (Biocomposites Ltd, Wilmington, NC) absorbable, calcium sulfate antibiotic beads (CSABs) in the setting of orthopedic surgery has previously been described. However, the use of CSAB in hernia repair is relatively novel and its association with the development of DC in this setting has not been previously reported. We describe a case where DC following abdominal wall reconstruction with CSAB was misinterpreted on CT imaging as an enteric fistula and almost resulted in an unnecessary emergency surgical procedure.
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Affiliation(s)
- Samuel Minor
- Department of Surgery and Critical Care Medicine, Dalhousie University , Halifax, Nova Scotia , Canada
| | - Judy Rowe
- Department of Radiology, Dalhousie University , Halifax, Nova Scotia , Canada
| | - Marius Hoogerboord
- Department of Surgery, Dalhousie University , Halifax, Nova Scotia , Canada
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