Retained surgical sponge presenting as a pelvic tumor after 25 years

Kim, S.R; Baik, Hong Kyu; Park, Y.W

doi:10.1016/s0020-7292(03)00139-5

Cited by 12 publications

(10 citation statements)

References 3 publications

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“…It is common for oxidized cellulose to appear as a mass during the immediate postoperative period, and this should not be confused with a postoperative abscess (9), tumor (10) or hematoma (11). Radiological features are nonspecific, and differential diagnosis may be particularly difficult, as the lesion may exhibit a tumor-like appearance (12).…”

Section: Discussionmentioning

confidence: 99%

Surgicel® granuloma mimicking ovarian cancer: A case report

Cormio¹,

Cormio²,

Fino³

et al. 2016

Oncology Letters

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Abstract. Surgicel® is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel ® sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving in situ oxidized cellulose. Furthermore, accurate evaluation of the surgical history of the patient should always be performed prior to attempting surgery.

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Section: Discussionmentioning

confidence: 99%

Surgicel® granuloma mimicking ovarian cancer: A case report

Cormio¹,

Cormio²,

Fino³

et al. 2016

Oncology Letters

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“…Retained surgical sponges have been discovered in many ways. The accident most frequently occurs both in general and digestive surgeries and in gynecological and obstetrical surgeries [ 5 - 8 ]. There have been very few cases described in the literature and, to the best of our knowledge, there are not reports describing this complication in the management of pelvic fractures.…”

Section: Discussionmentioning

confidence: 99%

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Chana-Rodríguez

Mañanes

Rojo-Manaute

et al. 2015

TOORTHJ

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Retained sponges after a surgical treatment of polytrauma may cause a broad spectrum of clinical symptoms and present a difficult diagnostic problem. We report a case of retained surgical sponge in a 35-year-old man transferred from another hospital, that sustained a open acetabular fracture. The fracture was reduced through a limited ilio-inguinal approach. After 4 days, he presented massive wound dehiscence of the surgical approach. An abdominal CT scan showed, lying adjacent to the outer aspect of the left iliac crest, a mass of 10 cm, identified as probable foreign body. The possibility of this rare complication should be in the differential diagnosis of any postoperative patient who presents with pain, infection, or palpable mass.

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“…In most cases, this type does not have clinical symptoms and the asymptomatic period varies. [2] About 40% of cases of gossypiboma were detected within the 1 st year and half of the cases were discovered 5 years or more after surgery. [5]…”

Section: Discussionmentioning

confidence: 99%

“…When a foreign granuloma reaction is reactivated, it can cause the clinical symptoms and signs of a rapidly growing pelvic tumor. [2] Inadvertent retention of the foreign body in the abdomen often requires another surgery. This increases morbidity and mortality of the patient, cost of treatment and legal litigation.…”

Section: Introductionmentioning

confidence: 99%

Robotic-assisted laparoscopic excision of gossypiboma simulating bladder wall mass after 35 years of appendectomy

2014

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Gossypiboma or textiloma are terms commonly used to describe a retained sponge in the body that is composed of sponge invested within a layer of foreign body reaction in the form of an abscess or an aseptic fibrotic reaction. These cases are rarely reported despite an incidence of 1:1,000-1,500 of abdominal or pelvic surgery. We report a patient who presented with an incidental supravesical mass discovered upon work up for frequency and suprapubic pain. He had appendectomy 35 years ago. The mass was excised by robotic-assisted laparoscopic technique. The pathologic evaluation came as gossypiboma.

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Retained surgical sponge presenting as a pelvic tumor after 25 years

Cited by 12 publications

References 3 publications

Surgicel® granuloma mimicking ovarian cancer: A case report

Surgicel® granuloma mimicking ovarian cancer: A case report

Retained Sponge: A Rare Complication in Acetabular Osteosinthesis

Robotic-assisted laparoscopic excision of gossypiboma simulating bladder wall mass after 35 years of appendectomy

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