Small Bowel Obstruction and Enterocolic Fistula from a Gossypiboma after Caesarean Section

Faghani, Maryam; Ar, Fazel; Roshandel, Gholamreza

doi:10.7727/wimj.2013.217

Cited by 2 publications

(2 citation statements)

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“…The most frequent possible complications described secondary to the presence of gossypiboma were represented by fistulas (19.29%) [ 10 , 13 , 19 , 20 , 23 , 27 , 32 , 33 , 37 , 50 ], perforations (12.28%) [ 1 , 26 , 29 , 44 , 45 , 51 , 53 ], obstructions (5.26%) [ 11 , 32 , 37 ], and bladder injuries [ 34 ] ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…Completing the imaging evaluation using CT and MRI increases the chances of preoperative diagnosis of this pathology [8,42] (Table 2). The most frequent possible complications described secondary to the presence of gossypiboma were represented by fistulas (19.29%) [10,13,19,20,23,27,32,33,37,50], perforations (12.28%) [1,26,29,44,45,51,53], obstructions (5.26%) [11,32,37], and bladder injuries [34] (Table 3). The therapeutic strategy of gossypiboma is surgical, being differentiated depending on the diagnosis time and possible complications' association.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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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Assessment of stress in caregivers of acutely hospitalized elderly and its relation to hospital outcomes

Mohamed,

Abou-Hashim,

Shaltoot

2023

Middle East Curr Psychiatry

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Background It is important to understand and identify the physical and emotional strain among caregivers of the elderly as caregivers may have much more strain and burden than non-caregivers, which subsequently may affect their well-being and the clinical outcome of the elderly they are caring for. Methods To assess caregiver stress and its effect on hospital outcomes at the geriatric department in Ain Shams University Hospitals, a cross-sectional study was done that included adults, aged ≥ 60 years, hospitalized for treatment of acute medical conditions and their accompanied caregivers where the patients were subjected to complete comprehensive geriatric assessment while cares givers’ stress was assessed using Caregiver Self-Assessment Questionnaire. Results Many elderly were found to need caregivers and the need increased with age as well as multiple comorbidities especially dementia, delirium, and urinary incontinence. Stress prevalence among caregivers is high (85%) and it increases with the age of the patients and the patient having several comorbidities such as cancer, neurological diseases, and sleep problems. Stress was also associated with high mortality of patients. Conclusion As there is an increase in the elderly population with a subsequent increase in the need for caregivers who suffer from caregiver stress, more studies are needed in the future to highlight this problem and find ways to relieve caregivers’ stress.

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Small Bowel Obstruction and Enterocolic Fistula from a Gossypiboma after Caesarean Section

Cited by 2 publications

References 8 publications

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

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

Assessment of stress in caregivers of acutely hospitalized elderly and its relation to hospital outcomes

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