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foreign body retained in liver long after gauze packing

World Journal of Gastroenterology 2013年第21期19卷 3364-3368页

作者： Jian Xu Heng Wang Zheng-Wei Song Miao-Da Shen Shao-Hua Shi Wei Zhang Min Zhang Shu-Sen Zheng Division of Hepatobiliary and Pancreatic Surgery Department of SurgeryFirst Affiliated HospitalSchool of MedicineZhejiang University Key Laboratory of Combined Multi-Organ Transplantation Ministry of Public HealthFirst Affiliated HospitalSchool of MedicineZhejiang University VIP Department Red Cross Hospital

This case report describes a foreign body retained in the liver long after perihepatic gauze packing. A 64-year-old female patient had suffered a rib fracture and liver rupture during a traffic accident in 1973. She discovered a mass in her right hypochondrium. Her hepatic ultrasonography showed a round mass (20.3 cm × 17.3 cm × 16.0 cm in size) with fluid echogenicity in the right lobe of her liver, and a hepatic cystic-solid mass (19.7 cm × 18.5 cm × 15.6 cm in size) was identified in an abdominal computerized tomography scan. Several pieces of gauze were extracted, and brown pus from the hepatic mass was suctioned during her exploratory laparotomy. Histology documented gauze remnants with necrotic material inclusions and fibrotic capsules. To our knowledge, this patient's case represents the longest time for which a foreign body has been retained in the liver. In addition, we conducted a comprehensive literature review of foreign bodies retained in the liver. foreign bodies may be introduced into the liver via penetrating trauma, surgical procedures or the ingestion of foreign bodies (which then migrate from the gut). Thus, they can be classified into the following three categories: penetrating, medical and migrated foreign bodies. The details of the case are thoroughly described.

关键词： Liver foreign bodies foreign-body migration foreign-body reaction Surgical sponges

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Gallstone spilt granulomas caused by laparoscopic cholecystectomy

引用

Chinese Medical Journal 1998年第1期111卷 92-93页

作者：郑平频 DepartmentofGeneralSurgery NingboMedicalCenterLiHuiLiHospitalChina.

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ＧａｌｓｔｏｎｅｓｐｉｌｔｇｒａｎｕｌｏｍａｓｃａｕｓｅｄｂｙｌａｐａｒｏｓｃｏｐｉｃｃｈｏｌｅｃｙｓｔｅｃｔｏｍｙＸｕＹｏｕｇｕａｎｇ徐衤右光ａｎｄＺｈｅｎｇＰｉｎｇｐｉｎ郑平频ＤｅｐａｒｔｍｅｎｔｏｆＧｅｎｅｒａｌＳｕｒｇｅｒｙ，ＮｉｎｇｂｏＭｅ...

关键词： Cholecystectomy Laparoscopic Female Granuloma foreign-body Humans Middle Aged Peritonitis

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