Endoscopic Removal of a Transgastric Migrated Textiloma: A Case Report

Abstract

Aim: Abdominal textiloma is an uncommon postoperative complication which can result in a fistula with luminal migration in the digestive tract. Surgery has been the mainstay method for textiloma removal; however, removal of retained gauze by upper gastrointestinal endoscopy is possible avoiding reoperation. Case report: We report a case of an abdominal textiloma in a 38-year-old male, which migrated into the stomach and was extracted by upper endoscopy. Conclusion: Endoscopic extraction after a luminal migration of the abdominal textiloma in the digestive tract facilitate its management and could avoid surgery.

Endoscopic management of a transgastric migrated gossypiboma: A case report

“…Abdominal gossypiboma is a postoperative iatrogenic complication resulting from the omission of textile fibers in the abdominal cavity during surgery. 3 , 4 …”

“…Gossypibomas may also appear like a cystic lesion with spongiform contents, concentric layers, or mural calcifications. 3 , 14 When CT scan results are not conclusive, MRI is the next step.…”

“…The recommended treatment for gossypibomas is surgical removal, although endoscopic removal has been performed by some teams and reported in the literature. 3 , 14 , 22 …”

“…The most used tool for endoscopic removal is endoscopic forceps with sometimes the need for a saw-tooth forceps. 3 , 14 …”

“…Migration from the peritoneal cavity to the inside of the stomach is rarely described in the literature. 3 Endoscopic management of these cases is even more unusual and poorly described: the gold standard being surgery.…”