Intraluminal migration of retained surgical sponge as a cause of intestinal obstruction

A 33 years aged gentle lady presented with the features suggestive of acute intestinal obstruction due to complete intraluminal migration of a laparotomy sponge, five years after open cholecystectomy in a private clinic. Contrast enhanced CT scan of whole abdomen revealed an elongated intraluminal mass in the distal ileum causing intestinal obstruction. Exploratory laparotomy revealed circumvented loop of ileum with intraluminal mass sized around 6x12 cm in the terminal ileum. Enterotomy delivered a surgical sponge with no external or internal communication. Though intraluminal migration of retained surgical sponge has often been reported. But complete migration with features of intestinal obstruction is rare.KYAMC Journal Vol. 4, No.-1, July 2013, Page 362-365

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Retained surgical sponge presenting as a case of intestinal obstruction

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.10.3.0267 ◽

2021 ◽

Vol 10 (3) ◽

pp. 412-416

Author(s):

Chiemelu Dickson Emegoakor ◽

Henry Chukwuka Nzeako ◽

Kenneth Oluchukwu Ugwuanyi ◽

Celestine Ifeanacho Okafor ◽

Arinze Chukwuma Ijezie

Keyword(s):

Abdominal Pain ◽

Foreign Body ◽

Intestinal Obstruction ◽

Private Hospital ◽

The Body ◽

Abdominal Distention ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Retained Foreign Body ◽

History Of

Retained surgical sponge or gossypiboma is a term used to describe a retained swab in the body after operation. There are different surgical materials that can be left in the abdomen during operation such as sponge, artery forceps, scissors, and pieces of broken instrument. Mop is the most commonly retained foreign body. Inadvertent retention of foreign body in the abdomen often requires another operation, increasing the morbidity and mortality in these patients. Despite the complications associated with this condition, they are rarely published because of medicolegal implications. We report a case of 28-year-old woman who presented on account of 9 months history of colicky abdominal pain, abdominal distention and mass following open myomectomy in a private hospital.

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Retained Surgical Sponge: An Unusual Cause of Intestinal Obstruction

Journal of Clinical Gastroenterology ◽

10.1097/00004836-199701000-00014 ◽

1997 ◽

Vol 24 (1) ◽

pp. 57-58 ◽

Cited By ~ 13

Author(s):

J. D. Wig ◽

M. K. Goenka ◽

S. Suri ◽

P. J. Sudhakar ◽

K. Vaiphei

Keyword(s):

Intestinal Obstruction ◽

Surgical Sponge ◽

Retained Surgical Sponge

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Intraluminal Meigration of Gossypiboma without Intestinal Obstruction for Fourteen years

Journal of Nepal Medical Association ◽

10.31729/jnma.315 ◽

2008 ◽

Vol 47 (171) ◽

Author(s):

Romeo Kansakar ◽

P Thapa ◽

S Adhikari

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Foreign Body ◽

Intestinal Obstruction ◽

Fistulous Tract ◽

Exploratory Laparotomy ◽

Surgical Sponge ◽

External Communication ◽

Upper Abdominal ◽

Intraluminal Migration

A 55 years lady presented with dull aching right upper abdominal pain with intermittent episodes of diarrhea following cholecystectomy which she underwent fourteen years back. Ultrasound and computed tomography findings were suggestive of foreign body in right subhepatic space. Exploratory laparotomy revealed circumvented loop of ileum with intra luminal mass sized 5x10 cm, resection anastomosis of the segment of ileum was performed. When opened it contained a surgical sponge with no external communication but an internal fistulous tract was present between the proximal and distal loops beyond the mass. Though intraluminal migration of retained surgical sponge has often been reported, complete intraluminal migration without features of obstruction or external opening is rarely seen.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):136-138.

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