Retained surgical sponge: diagnosis with CT and sonography

Choi, Byung Wook; Sh, Kim; Es, Yu; Hs, Chung; Mc, Han; Cw, Kim

doi:10.2214/ajr.150.5.1047

Cited by 126 publications

(96 citation statements)

References 2 publications

(2 reference statements)

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“…Foreign bodies with textile origin can be recognized as echogenic areas with significantly dense posterior acoustic shadowing or as different hiperechoic whirl-like structures in a well demarcated cystic mass as well as nonspesific hypoechoic or complex masses in ultrasonography, which is the most noninvasive diagnostic method. [23][24][25] Computed tomography demontrates a well demarcated characteristic mass with thickened walls, which may harbour gaseous areas. Rim enhancement or calcifications can be obvious when intravenous contrast material is simultaneously given.…”

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“…Internal structure of a gossypiboma can be whirl-like or spongioform due to the presence of the entrapped gas and may be low density or complex with both low density and wavy, striped or spotted high density areas on computed tomography. 24,26 Magnetic reasonance imaging is another tool which could be used in its diagnosis. High or low signal intensities in T1-and T2-weighted as well as heterogenous signal intensity in T2-weighted images depending on the internal structures of the mass lesion are some characteristics of magnetic resonance imaging.…”

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Retained Textile Foreign Bodies: Experience of 27 Years

Arıkan¹,

Kocakuşak

2015

Acta Med Port

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Acta Med Port 2015 Jul-Aug;28(4):494-500 RESUMOIntrodução e Objetivos: A retenção de materiais têxteis após a cirurgia é uma situação indesejada, tanto para o doente como para o cirurgião. Frequentemente são subnotificados por questões de natureza médico-legal. Apresentamos 14 casos de textilomas (compressoma) que foram tratados ou seguidos pessoalmente por dois cirurgiões gerais num período de 27 anos para descrever e definir as características clínicas e patológicas. Material e Métodos: Foram avaliados retrospectivamente os dados relativos a uma serie de casos, nomeadamente: características dos doentes (sexo e idade), localização anatómica do corpo estranho, intervalo de tempo até ao diagnóstico, apresentação clínica, queixas, abordagem diagnóstica, motivo de cirurgia, tipo de tratamento cirúrgico e complicações. Resultados: Foram identificados nove doentes do sexo feminino e cinco do sexo masculino, com uma média de idades de 43,07 ± 15,23 (mediano: 45) anos para o momento do diagnóstico. Em três doentes a cirurgia prévia foi cesariana, em quatro casos herniorrafia inguinal, um doente submetido a laparotomia exploradora por abdome agudo, um doente no qual foi realizado uma sigmoidectomia, uma doente submetida a apendicectomia e salpingooforectomia direita, uma doente na qual a cirurgia anterior tinha sido para corrigir uma hérnia incisional após laparotomia por neoplasia do ovário, um caso de tiroidectomia total, uma herniorrafia por hérnia epigástrica e uma doente submetida cirurgia conservadora bilateral da mama com pesquisa de gânglio sentinela. A localização mais frequente dos compressomas foi intra-abdominal em sete casos, em quatro doentes a localização foi inguinal, um caso localizado na incisão da correcção da hérnia epigástrica, um doente com textiloma na loca de tiroidectomia, e no caso da doente submetida a cirurgia conservadora da mama em ambas regiões axilares se encontraram corpos estranhos/compressomas. O intervalo de tempo foi em média 14,48 (mediano: 5,5) meses. Dıscussão: A identificação precoce de corpos estranhos pode assegurar um desfecho mais positivo. Conclusão: Os compressomas são uma forma de iatrogenia evitável com consequências graves. O cumprimento rigoroso das normas no bloco operatório é essencial para manter a ponta do iceberg fechado na caixa de Pandora. Palavras-chave: Corpos Estranhos; Granuloma de Corpo Estranho. ABSTRACT Introduction and Aim:Retained intracorporeal textile products (gossypiboma-textiloma) are undesired and accidental surgical results for both patients and surgeons, which are underreported because of medicolegal remifications. Fourteen textiloma cases, who had been treated or whose treatment procedures had been followed-up personally by two general surgeons in a period of 27 years almost during their whole professional lives were presented to describe and define the clinical and pathological characteristics. Material and Methods: Patient characteristics including gender and age, areas of location within the body, time intervals until diagnosis, clinical pres...

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confidence: 99%

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confidence: 99%

Retained Textile Foreign Bodies: Experience of 27 Years

Arıkan¹,

Kocakuşak

2015

Acta Med Port

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“…While a simple X-ray may give the decisive hint in presence of radiopaque labelling, the preoperative diagnosis for gauze swabs without such tags is much more challenging. Sponges without radiopaque markers may be identified by ultrasound visualization [19]. CT scan can be considered the most commonly used and effective method for gossypiboma detection overall [2,18,20] and therefore seems to be the diagnostic modality of choice in this setting.…”

Section: Discussionmentioning

confidence: 99%

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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“…The second is rather an acute exudative manifestation leading to abscess formation with or without secondary bacterial invasion. In the latter, it may presents as abdominal pain, a mass, bowel obstruction, gastrointestinal bleeding, abdominal infection or even peritonitis and in some cases forming fistula with surrounding organs [6].…”

Section: Discussionmentioning

confidence: 99%

Textiloma: A Case Report of Rectal Expulsion

Yazough¹,

Ovungu²,

Ossibi³

et al. 2017

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Textiloma is a rare pathological entity which can possibly complicate any surgery. Its incidence, reported in literature, is estimated between 1/1000 and 1/15,000. Abdominal and gynecological surgeries are responsible for the vast of majority of intra abdominal textiloma. Very few cases of spontaneous rectal expulsion of textiloma have been reported. We report the case of rectal expulsion of textiloma in a 26-year-old female who had undergone a C section for dynamic dystocia a year prior to her admission.

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Retained surgical sponge: diagnosis with CT and sonography

Cited by 126 publications

References 2 publications

Retained Textile Foreign Bodies: Experience of 27 Years

Retained Textile Foreign Bodies: Experience of 27 Years

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

Textiloma: A Case Report of Rectal Expulsion

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