scholarly journals Urinary Retention as the Only Symptom of Retained Surgical Sponge (Gossypiboma), 29 Years After Cesarean Procedure

2017 ◽  
Vol 11 ◽  
pp. 9-10
Author(s):  
Charalampos Konstantinidis ◽  
Spiridon Vlachos
2022 ◽  
Author(s):  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
Fitsum Gebreegziabher Gebrehiwot ◽  
Mubarek Bargicho Adem ◽  
Ramzi Yessuf Adem ◽  
...  

Abstract Introduction: Vesical gossypiboma is a retained surgical sponge in the urinary bladder following abdominal or pelvic surgery. It is probably under-reported due to medico-legal issues. It usually poses a diagnostic challenge to clinicians. A high index of suspicion is essential to make a timely diagnosis. Case Presentation: We present a case of vesical gossypiboma in a 64-year-old male patient who presented with a history of persistent lower urinary tract symptoms (LUTS) and acute urinary retention following trans-vesical prostatectomy. The urinary retention was relieved by a suprapubic cystostomy. On cystoscopic examination, a large whitish spongiform structure in the urethra and bladder was revealed. A gentle attempt of cystoscopic removal was failed. At exploration, a retained surgical sponge was revealed and removed from the bladder. Postoperatively, the patient reported improvement of symptoms and was passing urine normally. Discussion Vesical gossypiboma is relatively rare as very few isolated cases have been reported, and its migration through the urethra is even rarer. Patients with intravesical gossypiboma may manifest with either acute or chronic symptoms due to complications. Gossypiboma is an avoidable condition, and its occurrence can be prevented by thorough exploration of the surgical site and count of surgical materials at the end of the procedure. Conclusion Vesical gossypiboma should be considered as a differential diagnosis in patients with persistent LUTS following open bladder or prostate surgery. Open surgical removal is one of the feasible treatment options. But prevention is a preferable solution.


2022 ◽  
Author(s):  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
Fitsum Gebreegziabher Gebrehiwot ◽  
Mubarek Bargicho Adam ◽  
Ramzi Yesuf Adam ◽  
...  

Abstract Introduction: Vesical gossypiboma is a retained surgical sponge in the urinary bladder following abdominal or pelvic surgery. It is probably under-reported due to medico-legal issues. It usually poses a diagnostic challenge to clinicians. A high index of suspicion is essential to make a timely diagnosis. Case Presentation: We present a case of vesical gossypiboma in a 64-year-old male patient who presented with a history of persistent lower urinary tract symptoms (LUTS) and acute urinary retention following trans-vesical prostatectomy. The urinary retention was relieved by a suprapubic cystostomy. On cystoscopic examination, a large whitish spongiform structure in the urethra and bladder was revealed. A gentle attempt of cystoscopic removal was failed. At exploration, a retained surgical sponge was revealed and removed from the bladder. Postoperatively, the patient reported improvement of symptoms and was passing urine normally. Clinical Discussion: Vesical gossypiboma is relatively rare as very few isolated cases have been reported, and its migration through the urethra is even rarer. Patients with intravesical gossypiboma may manifest with either acute or chronic symptoms due to complications. Gossypiboma is an avoidable condition, and its occurrence can be prevented by thorough exploration of the surgical site and count of surgical materials at the end of the procedure. Conclusion Vesical gossypiboma should be considered as a differential diagnosis in patients with persistent LUTS following open bladder or prostate surgery. Open surgical removal is one of the feasible treatment options. But prevention is a preferable solution.


1993 ◽  
Vol 161 (3) ◽  
pp. 675-676 ◽  
Author(s):  
M N Ozmen ◽  
F Boyvat ◽  
D Altinok ◽  
O Akhan

2010 ◽  
Vol 39 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Jamie L. Haddad ◽  
Michael H. Goldschmidt ◽  
Reema T. Patel

2016 ◽  
Vol 22 (10) ◽  
pp. 3052 ◽  
Author(s):  
Woo Young Shin ◽  
Chan Hyuk Im ◽  
Sun Keun Choi ◽  
Yun-Mee Choe ◽  
Kyung Rae Kim

2017 ◽  
Vol 27 ◽  
pp. 43-44 ◽  
Author(s):  
Melanie C. Bois ◽  
John P. Bois ◽  
Sunil V. Mankad ◽  
Phillip M. Young ◽  
Joseph John Maleszewski

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983047 ◽  
Author(s):  
Pin-Keng Shih

Foreign body granuloma caused by retained surgical sponge is also called gossypiboma or textiloma, is mostly described in the abdominal cavity, with only a very few cases of retained surgical sponges located in breasts. A 48-year-old female came to our emergency department due to shortness of breath with consciousness disturbance. Sixteen years previously, she had gone through modified radical mastectomy. Eight years later, she received breast reconstruction. At emergency department, her hemodynamic status was unstable. Besides, there was one mass lesion with abscess in the right axillary region, and percutaneous abscess drainage was performed. She was sent to the medical intensive care unit for further care of septic shock. Because her symptoms and signs did not improve, we decided to perform fasciectomy and surprisingly found one retained surgical sponge in her breast. After the operation, she recovered well and the wound was stable. Due to limited literature available, we present a case of gossypiboma in the breast with a clinical manifestation of septic shock.


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