Gossypibomas Mimicking a Splenic Hydatid Cyst and Ileal Tumor

Akbulut, Sami; Arıkanoğlu, Zülfü; Yağmur, Yusuf; Başbuğ, Murat

doi:10.1007/s11605-011-1592-9

Cited by 20 publications

(45 citation statements)

References 33 publications

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“…Bani-Hani, et al stated that in his case series RSG were nine times more likely after emergency surgery compared to randomly selected controls, and four times more likely when an unexpected change in the surgical procedure was undertaken [1]. Other risk factors shown in the literature are lengthy procedures, multicavity cases and shift changes [8,13,14]. Since those case-related risk factors are specific to the needs of each patient at the time of surgery, standardization and procedure regulation is more difficult to establish in order to reduce the incidence of RSG.…”

Section: Discussionmentioning

confidence: 98%

“…Furthermore, gossypibomas may never be found in cases where patients remain asymptomatic. Gossypiboma appear most commonly after surgical interventions in the abdominal cave, followed by pelvic and thoracic surgery [2,7,8]. Retained surgical gauze swabs following limb or spine surgery is rarely reported [6].…”

Section: Discussionmentioning

confidence: 99%

“…Normally, two types of foreign body reaction can be seen in the clinical course following gossypiboma [8]. The first type is an aseptic fibrous response to the foreign material leading to adhesion and encapsulation and resulting in a foreign body granuloma.…”

Section: Discussionmentioning

confidence: 99%

“…The second type triggers an exudative inflammatory reaction and abscess formation, attempting to extrude the foreign material. It is this type of reaction that might produce postsurgical complications such as fistula formation or migration of the retained material, and therefore lead to erosion and perforation into adjacent viscera [7][8][9]. The exudative type of response can cause symptoms in the early postoperative period, but the extrusion process can take years and clinical symptoms are often unspecific [7].…”

Section: Discussionmentioning

confidence: 99%

“…RSG should be removed as soon as diagnosed [1,8]. In case of suspected retained gauze without radiological proof surgical exploration should be performed in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

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Retained Surgical Gauze Swab Migration in a Paraplegic Patient: A Case Report and Literature Review

Vogel¹,

Rudin²,

Ladurner³

2017

J Clin Case Rep

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Introduction: Gossypiboma is a serious but uncommon complication of surgical interventions. Most case reports and reviews refer to abdominal or thoracic surgery. Retained postoperative foreign bodies in limb or spine surgery are less commonly encountered. We present a case of gossypiboma in a paraplegic patient originating from pararectal surgery and detected 15 years after index surgery for infectious migration to the left thigh.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…RSG should be removed as soon as diagnosed [1,8]. In case of suspected retained gauze without radiological proof surgical exploration should be performed in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Retained Surgical Gauze Swab Migration in a Paraplegic Patient: A Case Report and Literature Review

Vogel¹,

Rudin²,

Ladurner³

2017

J Clin Case Rep

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A Well-Circumscribed, Painless Abdominal Mass

Boone

Hamad

2013

JAMA Surg

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Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

et al. 2015

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Gossypiboma is the term used to describe a retained non-absorbable surgical material that is composed of cotton matrix which leads to serious surgical complications for both patient and surgeon. Its incidence is not precisely known probably due to medico-legal importance of this potential complication. The condition may manifest either as asymptomatic or severe gastrointestinal complications. The increasing number of recent reports in the literature implies that this issue still remains as an important problem to be solved after intraabdominal surgery. In this report, we aimed to emphasize this potential complication by presenting the clinical outcomes of our 14 patients who underwent different surgical interventions for gossypiboma. Between February 2009 and October 2014, a total of 14 patients who underwent surgery for gossypiboma were reviewed retrospectively. The patients were analyzed with regard to demographic characteristics, initial diagnosisprior surgery, clinical presentation, the interval period from the first operation to last definite operation, diagnostic methods, gossypiboma location, definite surgery, and postoperative outcomes. A total of 14 patients including 6 (42.9 %) male and 8 (57.1 %) female with a median age of 41.4± 12 years (22-61 years) enrolled in this study. The prior surgery of 10 (71.4 %) patients was performed by general surgeons, while 4 (28.6 %) patients were operated by gynecologists. The interval period from prior surgery to definite surgery ranged from 14 days to 113 months. Three (21.4 %) patients were asymptomatic, whereas the vast of the patients were complicated (fistula, ileus, wound infection). Gossypiboma was removed by open surgery, laparoscopic surgery, and endoscopic intervention in 10, 2, and 1 patient, respectively. Removal was performed from perineal wound side in one patient. Removal was enough for definitive treatment in 10 (71.4 %) patients whereas bowel resection and primary repair was performed in 4 (28.6 %) patients due to fistula or perforation. One patient died from intra-abdominal sepsis on postoperative 13th day. Gossypiboma should strongly be considered in differential diagnosis of any postoperative patient with mild gastrointestinal symptom or with persistent wound infection. Adequate surgical intervention should be planned as soon as possible either to prevent further complications or to overcome medico-legal problems, when gossypiboma is detected.

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Gossypibomas Mimicking a Splenic Hydatid Cyst and Ileal Tumor

Abstract: Gossypiboma should be considered as a differential diagnosis of any postoperative patient who presents with pain, infection, or a palpable mass.

Cited by 20 publications

References 33 publications

Retained Surgical Gauze Swab Migration in a Paraplegic Patient: A Case Report and Literature Review

Retained Surgical Gauze Swab Migration in a Paraplegic Patient: A Case Report and Literature Review

A Well-Circumscribed, Painless Abdominal Mass

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

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