Ultrasonographic Appearance of Intra‐abdominal Granuloma Secondary to Retained Surgical Sponge

Maï, Wilfried; Ledieu, D.; Venturini, Luigi; Fournel, C.; Fau, Didier; Palazzi, Xavier; Magnol, J.P.

doi:10.1111/j.1740-8261.2001.tb00919.x

Cited by 25 publications

(27 citation statements)

References 9 publications

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“…Forty‐two cases of retained surgical swabs have been reported in the veterinary literature (2 cats and 40 dogs) (Teague and others , Terrier and others , Pardo and others , Lamb and others , Bradley , Merlo and Lamb , Mai and others , Papazoglou and Patslkas , Tsioli and others , Miller and others , Deschamps and Roux , Frank and Stanley , Putwain and Archer , Haddad and others , Krimer and Duval , Rayner and others , Forster and others ). In these cases, swabs were most commonly left in the abdomen (81%) and most commonly following ovariohysterectomy (57%).…”

Section: Discussionmentioning

confidence: 99%

Migration of a retained surgical swab into the jejunum in a dog

Day

Pechman

Bähr

2012

J of Small Animal Practice

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A two-year-old spayed female shih-tzu was referred with a 10-month history of lethargy, chronic diarrhoea and weight loss. On presentation, a partial response to antibiotics was noted. Physical examination revealed an abdominal mass, and serum biochemistry and haematology revealed a mature neutrophilia, hypoalbuminaemia and a non-regenerative anaemia. Contrast radiography and abdominal ultrasound were suggestive of an intraluminal foreign body. Exploratory laparotomy revealed a surgical swab in the lumen of the jejunum that was associated with severe adhesions. Histopathology showed evidence of transmural migration of the swab from the peritoneal cavity to the lumen of the jejunum.

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Section: Discussionmentioning

confidence: 99%

Migration of a retained surgical swab into the jejunum in a dog

Day

Pechman

Bähr

2012

J of Small Animal Practice

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“…There have been numerous reports of retained surgical sponges in veterinary medicine, but the true incidence has not been determined 3–6 . Retained surgical sponges are also referred to as gossypibomas.…”

Section: Discussionmentioning

confidence: 99%

“…Typically the sponge incites an aseptic inflammatory reaction and formation of a granuloma around the foreign material. The interval between the surgery and discovery of the retained sponge varies from days to years 3 . Retained sponges can remain within the mesentery unassociated with abdominal organs or can be extruded into a hollow viscus, such as the intestine.…”

Section: Discussionmentioning

confidence: 99%

Fibrosarcoma arising at the site of a retained surgical sponge in a cat

Haddad

Goldschmidt

Patel

2010

Veterinary Clinical Pathol

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An 8-year-old female spayed domestic shorthair cat had an abdominal mass palpated as an incidental finding on physical examination. Cytologic findings in ultrasound-guided fine-needle aspirates of the mass were most compatible with a sarcoma, with abundant mineralized material and mixed inflammation. The mass was removed surgically and on gross examination was white-tan, firm, associated with the mesentery, and when transected contained a gauze sponge in its center. On histopathologic examination, an area of central necrosis with mineralization and numerous refractile fibers consistent with sponge material was surrounded by dense fibrous connective tissue (gossypiboma). Within the connective tissue was a population of highly pleomorphic spindle cells consistent with a fibrosarcoma. Immunohistochemically, most neoplastic cells stained strongly positive for vimentin and a low number of cells were positive for smooth muscle actin. The results were consistent with a fibrosarcoma arising at the site of a retained surgical sponge. At a follow-up visit 2 months postoperatively, ultrasonographic and cytologic evidence of metastasis was found in the spleen and mesentery. To our knowledge, this is the first report of malignant transformation at the site of a retained surgical sponge in a cat and the first report of a fibrosarcoma arising within a gossypiboma in a domestic animal.

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“…To the authors' knowledge, there are only 19 cases of retained swabs reported in the ‘English language’ veterinary literature (Teague and others 1978, Pardo and others 1990, Lamb and others 1994, Merlo and Lamb 2000, Mai and others 2001, Frank and Stanley 2009, Putwain and Archer 2009, Haddad and others 2010, Krimer and Duval 2010, Rayner and others 2010). These reports are mainly focused on imaging of the foreign bodies (Lamb and others 1994, Merlo and Lamb 2000) although osteomyelitis (Teague and others 1978) and development of neoplasia (Pardo and others 1990, Miller and others 2006, Haddad and others 2010) was reported in several small animals, at the site of swab retention many years after original surgery.…”

mentioning

confidence: 99%

Retained surgical swabs in 13 dogs

Forster

Anderson²,

Yool

et al. 2013

Vet Record Case Reports

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To report the signalment, history, clinical signs, diagnostic and surgical findings and outcome in dogs and cats with retained swabs, medical records of dogs and cats that were referred to four referral centres were reviewed. Cases in which a retained surgical swab was identified during surgery at the referral hospital were selected for further study. The signalment, history, clinical signs, diagnostic and surgical findings and outcome in these cases were reviewed. Thirteen dogs with retained surgical swabs were included in the study. Bodyweight ranged from 9 to 45 kg. The initial surgery was a ‘non-routine’ abdominal procedure in seven dogs, ovariohysterectomy in five dogs and perineal hernia repair in one dog. Time from initial surgery to presentation at the referral centre ranged from four days to seven years. Treatment involved major surgery in eight of the 13 dogs. Outcome was excellent in 12 of 13 cases, one dog was euthanased.

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Ultrasonographic Appearance of Intra‐abdominal Granuloma Secondary to Retained Surgical Sponge

Cited by 25 publications

References 9 publications

Migration of a retained surgical swab into the jejunum in a dog

Migration of a retained surgical swab into the jejunum in a dog

Fibrosarcoma arising at the site of a retained surgical sponge in a cat

Retained surgical swabs in 13 dogs

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