Transmigration and spontaneous passage of a gossypiboma documented on contrast study

Butt, Usman Ismat; Shafiq, Abu Baker; Umar, Muhammad; Ashfaq, Maryam; Ayyaz, Mahmood

doi:10.1016/j.amsu.2018.10.022

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Even though these image techniques are more specific, radiographs are still the most commonly performed study; nonetheless, this modality gives no information with regard to complications. Notably, a barium enema is infrequently performed; in our case, this study gave us plenty of information not only in relation to diagnosis but also for surgical planning; consequently, we recommend barium enema, especially in centers where CT-scan is not available 2,11,21,23,24 .…”

Section: Discussionmentioning

confidence: 83%

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

Vidrio-Duarte

Correa-Dip

Vidrio-Duarte³

et al. 2020

HGMX

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We report the case of a 30-year-old female being studied for a colonic tumor, on the computed tomography-scan an abdominal mass with wall reinforcement and air bubbles suggestive of a retained sponge, Barium enema showed an extraluminal radiopaque marker and a mass migrated into the colon, on surgery, an enterocolic fistula was found, and we resected the ascending colon and 40 cm of terminal ileum and performed a ileotranverse anastomosis. Gossypibomas, despite preventive measures, remain a concern for surgeons due to its medicolegal implications, a high clinical suspicion leads to a correct diagnostic protocol and an early treatment.

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Section: Discussionmentioning

confidence: 83%

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

Vidrio-Duarte

Correa-Dip

Vidrio-Duarte³

et al. 2020

HGMX

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“…Some rare complications of gossypiboma have been reported, like spontaneous transmural migration of a surgical sponge into the intestinal lumen, resulting in mechanical intestinal obstruction, and expulsion of the sponge via the rectum 13 – 15 .…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma left behind in a cesarean section ended up with a failed laparotomic excision, which demanded another laparotomy to remove it: a rare case report

Abdullah,

Alsulaiman,

Imran

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Retained surgical items are an uncommon complication for surgical operations, with an estimated incidence of 1 in 5500 to 1 in 18,000 operations. Retained surgical sponges are the most common retained surgical items accounting for nearly 70%. In 1884 Wilson reported the first retained foreign body after laparotomy. Case presentation: A 22-year-old woman was referred to our hospital complaining of a feeling of abdominal bloating and heaviness associated with pain, fever, fatigue, and severe stink vaginal discharges. Past surgical history included: a cesarean section followed by laparotomy to remove a foreign body left behind, the obstetrician denied the presence of any foreign body. The diagnosis of retained surgical sponges was done in our hospital, according to the clinical history, and radiographic study. The second laparotomy was performed, and the surgical sponge was removed. Clinical discussion: Retained surgical items symptoms vary according to the site and types of materials. The diagnosis may be difficult because it resembles benign or malignant soft-tissue tumors of the abdomen and pelvis. Ultrasound and Computed Tomography have been used for the diagnosis of retained surgical items. The minimally invasive surgical approach appears to be most successful if the object is located early in the postoperative course. Conclusion: Retained surgical items are serious problems of surgical operations, and should be among the differential diagnosis of any abdominal pain in patients with a history of prior surgery.

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Gossypiboma: the failure of a successful intervention

Mejri¹,

Arfaoui²,

Aloui³

et al. 2020

Pan Afr Med J

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If successful surgery is the primary quest of any surgeon, unintentionally leaving behind surgical items in the operative field remains his most feared obsession. This rare but dramatic accident can lead to potentially fatal complications and turn both lives of the surgeon and the patient upside down. We present the case of a 29-year-old female patient who presented to the ER with three days history of severe diffuse abdominal pain associated with fever, biological inflammatory syndrome and well-tolerated iron deficiency anaemia. She had no past medical history except for a lower segment cesarean section 5 months ago. Abdominal MRI allowed the diagnosis of two gossypibomas responsible for two intra-abdominal collections. An emergency laparotomy allowed the removal of these foreign bodies and the management of their serious complications of intestinal perforation by the construction of a double intestinal stoma. The patient made a post-operative uneventful recovery. This observation emphasizes the need to raise the practitioner´s awareness about this differential diagnosis in every case of any poorly localized abdominal pain occurring after surgery.

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Transmigration and spontaneous passage of a gossypiboma documented on contrast study

Cited by 5 publications

References 19 publications

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

Gossypiboma left behind in a cesarean section ended up with a failed laparotomic excision, which demanded another laparotomy to remove it: a rare case report

Gossypiboma: the failure of a successful intervention

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