A rare sequel of gossypiboma
DOI:
https://doi.org/10.18203/2349-2902.isj20222604Keywords:
Retained products, Forgotten cotten material, Complication, Medicolegal issuesAbstract
Surgical materials (gauze) are sometimes inadvertently left within the body after surgical operations. Cotton materials are the most commonly forgotten. The implications for the patient as well as the doctors are grave. This presentation aims to rekindle awareness of the phenomenon of gossypiboma and highlight the implications and stress prevention. This case highlights the necessity for considering gossypiboma in patients presenting with abdominal symptoms after recent abdominal surgery. Herein we tend to report the case of a 60-year-old man with C/O abdominal pain and not tolerating feeds. Past surgical history of open cholecystectomy 2 years back. CECT Abdomen and pelvis -inconclusive. However, diagnostic upper endoscopy unconcealed a 10×10 cm retained surgical gauze in the pylorus multiple attempts to remove endoscopically failed. The patient underwent emergency exploratory-laparotomy for the same. 30×30cm surgical abdominal pad dissected out of the stomach. Though rare, retained foreign body ought to be thought about in the differential diagnosis of surgical abdominal pain in post-operative cases. The condition carries harm potential to the patient and medico-legal litigations.
References
Manzella A, Filho PB, Albuquerque E, Farcas F, Kaecher J. Imaging gossypiboma: pictorial review. AJR. 2009;193:504-1.
Aminian A. Gossypiboma: a case report. Cases J. 2008;1:1220.
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):221-2.
Kataria SP, Garg M, Marwah S, Sethi D. Acute abdomen by gossypiboma. Ann Trop Med Public Health. 2012;5(5):511-3.
Lauwers PR, Van Hee RH. Intra-peritoneal gossypiboma: the need to count sponges. World J Surg. 2000;24:521-7.
Gibbs VC, Coakley FD, Relines HD. Preventable errors in the operating room: retained foreign body in surgery. Current Prob Surg. 2011;44:261-337.
Karahasanoglu T, Unal E, Memisoglu K, Sahinler I, Atkover G. Laparoscopic removal of a retained surgical instrument. J Laparaendosc Adv Surg Tech A. 2004;14:241-3.
Sun H, Chen S, Kuo C, Wang S, Kao Y. Gossypiboma: retained surgical sponge. J Chin Med Assoc. 2007;70(11):511-4.
Sheehan RE, Sheppard MN, Hansell DM. Retained intrathoracic surgical awab. CT appearances. J Thoracic Imaging. 2000;15:61-4.
Ebnar T, Tolly E, Tritthart H. common intraspinal space-occupying lesion (foreign body granuloma) in the lumbo-sacral region. Neuroradiology. 1985;27:354-6.
El Khoury M, Mignon F, Tardivon A. Retained surgical sponge or gossypiboma of the breast. Eur J Radiol. 2002;42:58-61.
Kaiser CW, Friedman S, Spurling KP, Slowick T, Kaiser HA. The retained surgical sponge. Ann Surg. 1996;224:79-84.
Hayman J, Huygens H. Angiosarcoma developing around a foreign body. J Clin Pathol. 1983;36:515-8.
Silva CS, Caetano MR, Silva EA. Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Arch Gynecol Obstet. 2001;265:103-4 .
Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348:229-35.
Lata I, Kapoor D, Sahu S. Gossypiboma, a rare cause of acute abdomen: A case report and review of the literature. Int J Crit Illn Inj Sci. 2011;1:157-60.
Fabian CE. Electronic tagging of surgical sponges to prevent their accidental retention. Surgery. 2005;137:298-301.
Genocosmangolu R, Inceoglu R. An unusual cause of small bowel obstruction: case report. BMC Surg. 2003;3:6.