Retained intra-abdominal surgical sponge causing ileocolic fistula diagnosed by colonoscopy

Omar, Asaad Shareef; Mohammed, Ayad Ahmad

doi:10.1016/j.ijscr.2020.01.018

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Uterine fistulas occur more commonly with the urinary bladder and the bowel due to iatrogenic injuries, infections, and malignancies. There are some reported cases of uterocutaneous fistulas, the majority of them followed cesarean section [2] , [6] , [7] .…”

Section: Discussionmentioning

confidence: 99%

Uterocutaneous fistula after cesarean section; Case report

Hasan

Musa

Mohammed

2021

International Journal of Surgery Case Reports

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Introduction and importance Fistula is an abnormal tract communicating two epithelial surfaces, uterocutaneous fistula is an extremely rare. The classical presentation is cyclical bleeding from an abnormal opening in the scar of previous cesarean section. Case presentation A 28 year-old was presented 6 months after cesarean section with history of severe pain and blood discharge during menstruation from the previous transverse supra-pubic scar. The patient had history of previous 2 cesarean sections. Abdominal examination revealed a localized tenderness at site of previous operation scar with 1*1 cm opening at the central part of the scar which was discharging blood during pressure over the lower abdomen. There was no urine discharge from the scar. Vaginal examination by the speculum was normal. Clinical discussion Endometriosis was suspected and the patient received medical treatment with little improvement. Later, surgical intervention was done, the scar was excised with an abnormal fistulous tract connecting endometrial cavity at the site of the previous scar was found. Complete excision of the tract was done and the uterus was re-sutured using a slowly-absorbable suture material. The patient had no complications with regular cycles. Conclusion Uterocutaneous fistula is rare and usually follow cesarean section, suturing the uterus with non-absorbable suture material is reported in this case to be one of the underlying causes, other causes include infection, necrosis, foreign bodies, or malignancy. The fistula tract must be defined and any associated infection controlled, complete resection of the fistulous tract and suturing the uterus with absorbable suture material is required.

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Section: Discussionmentioning

confidence: 99%

Uterocutaneous fistula after cesarean section; Case report

Hasan

Musa

Mohammed

2021

International Journal of Surgery Case Reports

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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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Retained intra-abdominal surgical sponge causing ileocolic fistula diagnosed by colonoscopy

Cited by 2 publications

References 6 publications

Uterocutaneous fistula after cesarean section; Case report

Uterocutaneous fistula after cesarean section; Case report

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

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