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gossypiboma Presenting as an Atypical Intra-Abdominal Cyst: A Case Report

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Health 2014年第18期6卷 2499-2504页

作者： Dilip Dan P. Ramraj Viren Solomon Olivier Leron Malini Ramnarine Kavita Deonarine Vijay Naraynsingh Nigel Bascombe Department of Surgery University of the West Indies St. Augustine Trinidad and Tobago

gossypibomas are generally retained surgical sponges, and are usually a rare occurrence. They are diagnostic dilemmas with an incidence ranging from 1 in 8000 to 1 in 18,000 surgeries. However the incidence of this problem is on the rise and the clinician needs to have a high index of suspicion to make an accurate diagnosis. We reported the case of a 50-year-old male patient who presented with a 6-month history of vague epigastric discomfort, early satiety and nausea. Further investigation revealed an intra-abdominal cyst that proved to be secondary to a retained laparotomy sponge and was treated laparoscopically. This is usually an unanticipated surgical misadventure which is often preventable, with significant associated stigma for the surgical professional involved. Unfortunately it leads to extensive and often unnecessary surgical intervention. The condition can be managed conservatively or surgically. Our case report demonstrates the use of laparoscopy for the successful management of intra-abdominal gossypibomas and represents the first reported case of laparoscopic management of a gossypiboma in the Caribbean setting. It also demonstrates both the acute and delayed presentations of gossypibomas in the same patient.

关键词： gossypiboma Intra-Abdominal Cyst Laparoscopic

Under-reporting of gossypiboma in a third-world country. A sociocultural view

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Health 2012年第2期4卷 56-59页

作者： David Omoareghan Irabor Department of Surgery University College Hospital Ibadan Ibadan Nigeria

The paper looks at the reason for the low reportage of retained abdominal packs following an abdominal operation in a third world country like Nigeria. It is generally agreed that this unfortunate situation is under-reported. The reason for under-reporting is now given a socio-cultural perspective. Fear of litigation does not seem to be paramount here like it would be in the western (developed) world. Other explanations like fear of being made a scapegoat for something which may be due to spiritual attacks may be more important. The paper concludes by recommending that the removal of impediments to disclosure of this adverse surgical event will lie in education, discouragement of scapegoatism and improvement in hospital services in the third world.

关键词： gossypiboma Retained Abdominal Pack Under-Reporting

Transmural penetration of sigmoid colon and rectum by retained surgical sponge after hysterectomy

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World Journal of Gastroenterology 2016年第10期22卷 3052-3055页

作者： Woo Young Shin Chan Hyuk Im Sun Keun Choi Yun-Mee Choe Kyung Rae Kim Department of Surgery Inha University HospitalInha University College of Medicine

gossypiboma is a surgical sponge that is retained in the body after the operation. A 39-year-old female presented with vague lower abdominal pain, fever, and rectal discharge 15 mo after hysterectomy. The sponge remaining in the abdomen had no radiopaque marker. Therefore a series of radiographic evaluations was fruitless. The surgical sponge was found in the rectosigmoid colon on colonoscopy. The sponge penetrated the sigmoid colon and rectum transmurally, forming an opening on both sides. The patient underwent low anterior resection and was discharged without postoperative complications.

关键词： gossypiboma Textiloma Retained foreign object Surgical sponge Radiopaque marker

Abdominal gossypibomas: Computed Tomography Scanner Findings of a Series of 15 Cases

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Open Journal of Radiology 2020年第1期10卷 16-22页

作者： Mazamaesso Tchaou Boyodi Tchangai Djatougbe Fafa Dosseh Pihou Gbande Bereza Kolou Lantam Sonhaye Lama-Kegdigoma Agoda-Koussema Victor Adjenou Department of Radiology University of Lomé Lomé Togo Department of Visceral Surgery University of Lomé Lomé Togo

Background: “gossypiboma” or “textiloma” refers to accidental retention of textile material in an operated area of the body. Abdominal surgery is most often responsible for this complication. The purpose of our study was to describe the appearance of abdominal gossypibomas on computed tomography (CT) scan images. Materials and Methods: We conducted a retrospective study over ten years (from January 1, 2009 to December 31, 2018) at the Teaching University Hospital of Lomé. We collected all surgically confirmed cases of abdominal gossypibomas with abdominal CT scans. Results: Fifteen cases were compiled, with a sex-ratio of 0.36. The average age of the patients was 34 years. The initial surgery was emergent in nine of 15 cases, 11 of which consisted of gynecological interventions. The gossypiboma symptom incubation period was between 3 days and 3 years. A radiopaque marker was observed via CT scans in three of 15 cases. The gossypiboma appeared encapsulated and spongiform in six cases and cystic in seven cases. There were two cases where the gossypiboma migrated into hollow organs. Conclusion: Abdominal gossypibomas appear polymorphic on CT scans and should be considered in patients who present with an abdominal mass and a history of abdominal surgery, even for absent radiopaque markers.

关键词： gossypiboma Textiloma Computed Tomography Safety in Surgery Togo