Chronic Watery Diarrhea Due to a Surgical Pack in the Ileal Lumen

Dharamsi, Rajesh; Jesudason, S. R. Banerjee; Rolston, D. D. K.

doi:10.1097/00004836-199004000-00032

Cited by 6 publications

(3 citation statements)

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“… 2 , 10 Moreover, the patients may present anorexia, weakness and weight loss resulting from malabsorption syndrome. 15 , 16 In the case described herein, the patient showed various clinical presentations listed in the literature. For the last six years, she had been treated for an iron deficiency anemia, after being treated for a gastric ulcer.…”

Section: Discussionmentioning

confidence: 84%

“…When symptoms occur later, the majority of patients present abdominal pain, a painful abdominal mass10 or intestinal obstruction 2,10. Moreover, the patients may present anorexia, weakness and weight loss resulting from malabsorption syndrome 15,16. In the case described herein, the patient showed various clinical presentations listed in the literature.…”

Section: Discussionmentioning

confidence: 99%

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An iron deficiency anemia of unknown cause: a case report involving gossypiboma

Campos¹,

Franco²,

Maximiano³

et al. 2010

Clinics

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

An iron deficiency anemia of unknown cause: a case report involving gossypiboma

Campos¹,

Franco²,

Maximiano³

et al. 2010

Clinics

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“…Common findings and symptoms include pain or abdominal discomfort, palpable mass, nausea and/ or vomiting, weight loss, diarrhea, abdominal distension, intestinal obstruction, tenesmus, etc. [10,20,25,[27][28][29]. Sometimes, only constitutional symptoms, like fever and weight loss, prevail [20,29].…”

Section: Clinical Presentationmentioning

confidence: 99%

Retained surgical sponges: what the practicing clinician should know

Sakorafas

Sampanis

Lappas

et al. 2010

Langenbecks Arch Surg

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Retained surgical sponges (RSS) are an avoidable complication following surgical operations. RSS can elicit either an early exudative-type reaction or a late aseptic fibrous tissue reaction. They may remain asymptomatic for long time; when present, symptomatology varies substantially and includes septic complications (abscess formation, peritonitis) or fibrous reaction resulting in adhesion formation or fistulation into adjacent hollow organs or externally. Plain radiograph may be useful for the diagnosis; however, computed tomography is the method of choice to establish correct diagnosis preoperatively. Removal of RSS is always indicated to prevent further complications. This is usually accomplished by open surgery; rarely, endoscopic or laparoscopic removal may be successful. Prevention is of key importance to avoid not only morbidity and even mortality but also medicolegal consequences. Preventive measures include careful counting, use of sponges marked with a radiopaque marker, avoidance of use of small sponges during abdominal procedures, careful examination of the abdomen by the operating surgeon before closure, radiograph in the operating theater (either routinely or selectively), and recently, usage of barcode and radiofrequency identification technology.

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Intraperitoneal Gossypibomas: The Need to Count Sponges

2000

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Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow. Computed tomography shows a well defined mass with internal heterogeneous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed.

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Chronic Watery Diarrhea Due to a Surgical Pack in the Ileal Lumen

Cited by 6 publications

References 0 publications

An iron deficiency anemia of unknown cause: a case report involving gossypiboma

An iron deficiency anemia of unknown cause: a case report involving gossypiboma

Retained surgical sponges: what the practicing clinician should know

Intraperitoneal Gossypibomas: The Need to Count Sponges

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