Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

Usta, Taner; Yildirim, Dogukan; Ozyurek, Sefik E.; Gündoğdu, Elif Cansu

doi:10.1155/2013/578027

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…However, it may instead remain asymptomatic for a long time. One of our patients was symptomatic after four years, and in the other case, her symptom appeared after 25 years (10). Therefore, the diagnosis of gossypiboma may be difficult unless it is specifically kept in mind, especially with patients who have a history of surgery.…”

Section: Discussionmentioning

confidence: 79%

Gossypiboma, Mimic Imaging of Malignant Tumor: Report of Two Cases

Yousefi

Hoseini

Layegh

et al. 2016

Iran Red Crescent Med J

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Introduction: Gossypiboma is a rare tumor caused by gauze fibers retained during surgery. This medico-legal problem is associated with an increase in patients' morbidity and mortality. The aim of this study is to report two cases of gossypiboma mimicking the imaging of a malignant tumor. Case Presentation: We report two patients (the first patient was 50 years old, with a history of an appendectomy three years ago in another city; the second patient was 52 years old, with a history of a cesarean section 25 years ago in another hospital) who were admitted to the oncology department of Ghaem Hospital, Mashhad University of Medical Sciences in 2014. The initial manifestations were signs and symptoms of malignant ovarian tumors, and abdominal ultrasounds and CT scans also indicated malignant tumors. Both patients had a history of a previous laparotomy. Surgical evaluation confirmed gossypiboma as a definite diagnosis. Conclusions: In patients with abdominal or pelvic masses and a history of previous abdominal surgery, the possibility of gossypiboma should be kept in mind.

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Section: Discussionmentioning

confidence: 79%

Gossypiboma, Mimic Imaging of Malignant Tumor: Report of Two Cases

Yousefi

Hoseini

Layegh

et al. 2016

Iran Red Crescent Med J

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“…The most frequent possible complications described secondary to the presence of gossypiboma were represented by fistulas (19.29%) [ 10 , 13 , 19 , 20 , 23 , 27 , 32 , 33 , 37 , 50 ], perforations (12.28%) [ 1 , 26 , 29 , 44 , 45 , 51 , 53 ], obstructions (5.26%) [ 11 , 32 , 37 ], and bladder injuries [ 34 ] ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Varlas,

Bors,

Mastalier

et al. 2023

JCM

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Gossypiboma or textiloma is a rare medical situation that can complicate the favorable evolution of a surgical case, with repercussions for the patient’s prognosis. The diagnosis can be difficult due to various clinical symptoms, the time elapsed since the surgical intervention, and the imaging often not being precise in detecting textilomas. Due to the medicolegal implications, the reporting of this event is inconsistent. We present a rare case of a 28-year-old woman who presented with vague pain in the left iliac fossa 11 months after an emergency cesarean hysterectomy was performed. The preoperative imaging examination identified the presence of a subhepatic mass with dimensions of 10 × 8 cm2 and another formation in the right iliac fossa with dimensions of 11 × 9 cm2. Exploratory laparotomy found the presence of a large subhepatic gossypiboma, intimately adherent to the hepatic angle of the colon and omentum and a second one adherent to the sigmoid colon, small intestine, and parietal peritoneum. The particularity of this case is given by the simultaneous presence of two textilomas with inconclusive evolution, which can make the differential diagnosis difficult to achieve. For a better assessment of the risk of occurrence of this pathology and the identification of a correct prevention strategy, we performed an extensive search and a review of all the articles published in the PubMed database, identifying 57 articles. In conclusion, emergency surgery increases the risk of this complication, and, as a result, prevention can be achieved by following existing protocols in the operating room.

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“…To our knowledge, no other cases of asymptomatic intrauterine gossypibomas following recent Cesarean section are reported in academic researches. One report presents a gossypiboma following Cesarean section which led to abscess and uterine wound dehiscence in a female who underwent an emergency Cesarean section four months earlier [13].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of US and CT in an Unusual Case of Asymptomatic Intrauterine Gossypiboma

Hadjidekov¹,

Dayana²,

Maria³

et al. 2018

Int. J. Gynecol. Obstet. & Neona. Care

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Foreign-body material such as surgical sponge, accidentally retained in the human body, is termed gossypiboma or textiloma. This may result in foreign-body reaction with severe surgical complications if left unknown. Computed tomography (CT) and ultrasound (US) are preferred methods for detection of gossypibomas. The radiologic features on CT are characteristic whatever in any location-spongiform mass with gas bubbles, low-density mass with a thin enhancing capsule and calcified depositions along the network architecture of a surgical sponge. US also provides a typical appearance of hypoechoic or anechoic mass with distal loss of signal. Surgical removal is mandatory considering the amount of possible complications. We present a case of rare localization of asymptomatic intrauterine gossypiboma and discuss the common US and CT features of this infrequent entity.

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Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

Cited by 3 publications

References 8 publications

Gossypiboma, Mimic Imaging of Malignant Tumor: Report of Two Cases

Gossypiboma, Mimic Imaging of Malignant Tumor: Report of Two Cases

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Diagnostic Value of US and CT in an Unusual Case of Asymptomatic Intrauterine Gossypiboma

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