Gossypiboma, the Never Event;a Case Report
Gossypiboma, the Never Event;a Case Report作者机构：Department of General Surgery King Abdulaziz Hospital Makkah Saudi Arabia Department of Pathology King Abdulaziz Hospital Makkah Saudi Arabia
出 版 物：《Open Journal of Emergency Medicine》 (急诊医学（英文）)
年 卷 期：2023年第11卷第3期
页 面：80-86页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Gossypiboma Retained Foreign Body Surgical Sponge Small Bowel Obstruction Surgical Gauze
摘 要：Introduction and importance: In the surgical field, we utilize gauze and surgical instruments daily, and the complications can be divided into avoidable versus nonavoidable. The term Gossypioma in the literature indicates a retained surgical sponge or gauze. It can be there for years and be dormant or discovered within days as the patient starts to reveal symptoms. This makes diagnosing challenging pre-operatively as the radiological findings might not be as specific. Case presentation: A 75 male Moroccan patient with Normal Body mass index, Medically free. His main complaint was Abdominal pain in the epigastric area. His past surgical history was positive for a left open inguinal hernia repair with mesh three months ago that went uneventfully And an open appendectomy before 20 years. The Abdomen X-ray: multiple air-fluid levels with dilated small bowel as well as perfectly rounded calcifications at the right lower quadrant. Conclusion: It’s a devastating medical error, but it can be avoidable. Communication between the surgical team and operation staff is a crucial and straightforward tactic to prevent these complications. As the sequel will reveal itself at any time and the patient will pay the price.
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