Endoscopic removal of foreign body abandoned in prior laparotomy

Henriques, Alexandre Cruz; J, Segre; Silva, Paula Altenfelder; Ide, Edson; Godinho, Carlos Alberto; Waisberg, Jacques

doi:10.1590/s0102-67202014000400023

Cited by 1 publication

(1 citation statement)

References 6 publications

(16 reference statements)

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“…The first case of a gastric gossypiboma was diagnosed by Erbay G endoscopically in 2012 (2). Gossypiboma is composed of a cotton material that approximately remains in 1/3,000 surgical processes, such as emergency surgeries, unexpected surgical procedures, poor organization, rapid sponge count, failure in sponge counting, prolonged operations, unstable patients and operations by assistants (1)(2)(3)(4). Retained surgical towel may present as chronic abdominal pain, nausea and vomiting after feeding because of gastric outlet obstruction, when it migrates into the GI lumen (3,5,6).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic removal of retained large surgical gauze: a case report

Khoshbaten

Tekantapeh

2016

Rev Esp Enferm Dig

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In this paper, a 63-year-old woman was reported with recurrent abdominal pain after cholecystectomy. A retained surgical towel was seen by CT-scan in the peritoneal cavity, where it migrated across duodenum wall toward pre-pyloric region of the stomach. Endoscopic removal of the large retained gauze in size of 40 cm x 40 cm was successfully performed without laparotomy and with no complication. In the last years, the main method for removal of retained foreign objects has been open laparotomy or laparoscopy. We claimed that removal of large retained surgical long gauze is actually possible using upper GI endoscopy by expert endoscopists, and, therefore, there is no need for anesthesia or surgery as well as no occurrence of complication and laceration.

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