A Case Report of Retained Foreign Body Following Abdominal Surgery after 23 Years

Document Type : Case Report

Authors

1 Resident of General Surgery, Health Research Institute, Babol University of Medical Sciences, Shahid Beheshti Hospital, Babol, Iran

2 Professor, Department of General Surgery, Babylon University of Medical Sciences, Shahid Beheshti Hospital, Babylon

3 Assistant General Surgery Group, Student Research Committee, Babylon University of Medical Sciences, Shahid Beheshti Hospital, Babylon

Abstract
Retained surgical sponges are one of the complications of surgery, especially intra-abdominal surgery. The term gossypiboma denotes a piece of cotton material such as cotton pads, towels and sponges forgotten in a body cavity after operation. The patient was a 74-year-old woman hospitalized for abdominal pain and lump, which revealed that part of the terminal ileum and cecum was an indistinguishable mass, due to fibrotic reaction of the previous gynecologic surgery. Ileocecal resection and ileocolic anastomosis and abdominal lavage were performed and the patient was discharged a few days later. Hence to gossypiboma and its complications are one of the legal matter in medicine, consideration to prevention is important.

Keywords


1. Aminian A. Gossypiboma: a case report. Cases Journal. 2008; 1(1): 220.

2. Terkimbi UB, Joseph IT, Barnabas E. Retained Post-Operative Foreign Body of Gynecologic Origin at Ascending Colon, Gynecol Obstet Case Rep. 2016, 2: 2.

3. Gibbs VC, Coakley FD, Reines HD: Preventable errors in the operating room: retained foreign bodies after surgery. CurrProbl Surg 2007, 44: 281-337.

4. Tzeng JE, Wei CK, Chang SM, Lin CH (2006) Surgical Gauze pseudoturmour (Gauzoma). A case report. Tsu Chi Med J 18: 49-51.

5. Gawande AA, Studdert DM, Orav EJ Brennan, TA, Zinner MJ: Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003, 348: 229-235.

 

6. Patil KK, Patil SK, Gorad KP, Pandial AH, Arora SS, Gautum RP. Intra-luminal migration of surgical sponge: gossypiboma. Saudi J Gastroenterol. 2010; 16(3): 221-222.

7. S Ray, K Das; Gossypiboma presented as abdominal lump seven years after open cholecystectomy, Journal of Surgical Case Reports, Volume 2011, Issue 8, 1

August 2011, Pages 2.

8. Uramis S, Schauer C, Pfeifer J, Dagcioglu A. Laparoscopic removal of a large laparotomy pad forgotten in situ. Surg Laparosc Endosc. 1995; 5: 77-79.

9. Gumus M Gumus. A serious medico-legal problem after surgery:gossipiboma. American Journal of Forensic Medicine and Pathology. 2012; 33(1):

54-57.