Gossypiboma Masquerading as Small Bowel Malignancy

Boghratian, Amir Hossein; Al-Taee, Ahmad

doi:10.34172/mejdd.2020.172

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Furthermore, gastrointestinal endoscopy, as well as cystoscopy and ureteroscopy, can be applied to identify transmural migration and sometimes remove the RSS ( 32 , 39 ). For a long time, redo exploratory laparotomy remains the frequent and vital method to finally confirm the diagnosis and treat this specific patient population.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Laparoscopy-assisted resection for intra-abdominal gossypiboma masquerading as a jejunal tumor (with video)

Han,

Yang,

Dai

et al. 2023

Front. Oncol.

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IntroductionIntra-abdominal gossypiboma, a cotton-based retained foreign body after an abdominal surgery, is associated with various clinical manifestations and complications. Its infrequent occurrence and unpredictability make its early diagnosis particularly challenging. We herein present an atypical case of intra-abdominal gossypiboma mistaken for a jejunal tumor.Case presentationA 33-year-old female presented to the emergency room with an acute episode of progressive abdominal pain and distention, nausea, and vomiting for 20 hours. She had undergone an urgent cesarean section due to fetal tachycardia seven years prior. The initial diagnosis of small bowel obstruction (SBO) due to a jejunal tumor was established by computed tomography. Subsequent to successful medical management of the SBO, a laparoscopy-assisted resection of the mass and the adherent jejunal segment was conducted, culminating in a primary side-to-side jejunojejunostomy. Examination of the excised tissue revealed an approximately spherical fibrous mass, 6 × 6 × 5 cm in dimension, embedded in the jejunal wall, housing a 20 × 20-cm gauze. Postoperative recovery and routine follow-up ensued without complications.ConclusionIn light of this case, the need for clinicians to maintain an elevated awareness and suspicion of gossypiboma should be accentuated when evaluating an intra-abdominal mass, especially in patients with a prior history of high-risk laparotomy. Laparoscopic surgery stands out as a technically proficient and minimally invasive strategy for diagnosing and treating intra-abdominal gossypiboma. Besides, it is imperative to emphasize the importance of meticulous surgical procedures and postoperative protocols to prevent such oversights, reaffirming the need for consistent intraoperative counts and checks of surgical items.

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Section: Discussionmentioning

confidence: 99%

Case Report: Laparoscopy-assisted resection for intra-abdominal gossypiboma masquerading as a jejunal tumor (with video)

Han,

Yang,

Dai

et al. 2023

Front. Oncol.

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show abstract

“…Efforts to improve care processes, standardized count protocols, deliberate wound exploration by the surgeon before closure and resolving count discrepancies should be put in place [1]. Also, the use of radiologically detectable sponges (Ray-tec sponges) and towels should be encouraged as much as possible [2]. Furthermore, the use of electronic article surveillance system and barcode scanner in relation to intra-operative surgical sponge use have been advocated [10].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma: A case report

KO¹,

SB²,

AI³

et al. 2021

J Clin Images Med Case Rep

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This case underscores the need for clinicians to bear the possibil‑ ity of gossypiboma in mind when patients who have had abdominal surgery in the recent past present with unresolving abdominal pain. This 46 year old woman who had an elective hysterectomy done three months earlier presented with unresolving abdominal pain of three months and lower abdominal distension of a day duration. Fol‑ lowing exploratory laparotomy, an 18 cm by 18 cm towel was recov‑ ered from her peritoneal cavity. She subsequently developed fecal fistula which was successfully managed conservatively and was dis‑ charged in good condition on 20th post-operative day. Gossypiboma is a rare but grave complication of abdominal and pelvic surgeries with attendant significant morbidity or even mortal‑ ity. Adequate attention to patient care processes may reduce its oc‑ currence and high index of suspicion is needed for its diagnosis. Keywords: abdominal sponge; gossypiboma; intra‑abdominal.

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Gossypiboma Masquerading as Small Bowel Malignancy

Cited by 2 publications

References 11 publications

Case Report: Laparoscopy-assisted resection for intra-abdominal gossypiboma masquerading as a jejunal tumor (with video)

Case Report: Laparoscopy-assisted resection for intra-abdominal gossypiboma masquerading as a jejunal tumor (with video)

Gossypiboma: A case report

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