A case of retained surgical mop in abdomen with partial intragastric migration: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20240583Keywords:
Gossypiboma, Retained surgical mop, TextilomaAbstract
Though not uncommon, to retain a foreign body in the abdomen is a preventable error that makes the life of a patient miserable. One of the commonest retained foreign bodies is surgical mop or sponge. Retained mop may cause either an early septic reaction or a late fibrotic reaction. They often cause sinus or fistula and even can transmigrate in to the lumen of viscera. In case of upper abdominal retained mops, they usually erode the thin duodenal wall and rarely stomach. In this case, a mop was retained in the deep subhepatic space 2.5 months ago following open cholecystectomy. It caused an aseptic fibrotic reaction resulting in encapsulation of the mop. It then eroded the antral part of stomach through the lesser curvature and caused luminal obstruction. The patient presented with vomiting after each meal. Upper gastrointestinal tract (GIT) endoscopy revealed a woven fabric object that was impacted and occluded the lumen. The retained mop was removed after laparotomy and the antral wall was repaired well. This case is noteworthy due to its less symptom and penetration into the stomach.
References
Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res. 2007;138:170-4.
Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207:80-7.
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(3):229-35.
Sushel C, Khanzada TW, Samad A. Retained Surgical Foreign Bodies: Can these be prevented? Pak J Med Sci. 2010;26(1):15-20.
Sinha SK, Udawat HP, Yadav TD, Lal A, Rana SS, Bhasin DK. Gossypiboma diagnosed by upper-GI endoscopy. Gastrointest Endosc. 2007;65:2.
Yildirim S, Tarim A, Nursal TZ, Yildirim T, Caliskan K, Torer N, et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg. 2006;391:390-5.
Hyslop JW, Maull KI. Natural history of the retained surgical sponge. South Med J. 1982;75:657-60.
Lauwers PR, Hee RHW. Intraperitoneal gossypiboma: the need to count sponges. World J Surg. 2000;24:521-7.
Botet del Castillo FX, López S, Reyes G, Salvador R, Llauradó JM, Peñalva F, et al. Diagnosis of retained abdominal gauze swabs. Br J Surg. 1995;82(2):227-8.
Rappaport W, Haynes K. The retained surgical sponge following intra-abdominal surgery. Arch Surg. 1990;125:405-7.
Sakorafas GH, Sampanis D, Lappas C, Papantoni E, Christodoulou S, Mastoraki A, et al. Retained surgical sponges: what the practicing clinician should know. Langenbecks Arch Surg. 2010;395:1001-7.
Jain M, Sawhney S. Gossypiboma: ultrasound-guided removal. J Clin Ultrasound. 1995;23:321-3.
Erdil A, Kilciler G, Ates Y, Tuzun A, Gulsen M, Karaeren N, et al. Transgastric migration of retained intraabdominal surgical sponge: gossypiboma in the bulbus. Inter Med. 2008;47:613-5.
Steelman VM, Shaw C, Shine L, Hardy-Fairbanks AJ. Retained surgical sponges: a descriptive study of 319 occurrences and contributing factors from 2012 to 2017. Patient Saf Surg. 2018;12:20.
Lauwers PR, Hee RHW. Intraperitoneal gossypiboma: the need to count sponges. World J Surg. 2000;24:521-7.
