scholarly journals Gossypiboma: case report and review of literature

2019 ◽  
Vol 6 (11) ◽  
pp. 4148
Author(s):  
Tulasi Ram ◽  
Divya Dahiya ◽  
Anil Naik
Keyword(s):  
Foreign Body ◽  
Radio Frequency Identification ◽  
Surgical Complication ◽  
Tissue Reaction ◽  
Mesenteric Cyst ◽  
Significant Morbidity ◽  
Surgical Sponge ◽  
Chronic Abscess ◽  
History Of ◽  
Enhanced Computed Tomography

Gossypiboma or retained surgical sponge is an entirely preventable surgical complication; it is associated with significant morbidity to patient and medico legal issues to the surgeon. Clinical presentation depends upon location of the foreign body and tissue reaction to the foreign body. Pre-operative diagnosis is the most difficult part and treatment of choice is surgery. A 30 year female presented with 16 months history of gradually increasing lump on left side of lower abdomen following a caeserian section. Ultrasonography was suggestive of infected mesenteric cyst and contrast enhanced computed tomography scan of abdomen was suggestive of either chronic abscess or gossypiboma. She was treated surgically; intra-operatively there was a 10×10 cm well circumscribed lesion in sigmoid mesentery which was adherent to sigmoid colon. It was a single surgical sponge with about 1000 ml of pus. Gossypiboma is an entirely avoidable surgical complication which is associated with significant morbidity and medico-legal implications. Meticulous counts with thorough exploration of site before closure can lessen the undue morbidity or mortality. Radio frequency identification verification by barcode scanner can reduce the error rate.

scholarly journals Small Bowel Perforation due to Gossypiboma Caused Acute Abdomen

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Tahsin Colak ◽  
Tolga Olmez ◽  
Ozgur Turkmenoglu ◽  
Ahmet Dag
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Foreign Body Reaction ◽  
Acute Abdominal Pain ◽  
Surgical Complication ◽  
Bowel Perforation ◽  
Abdominal Cavity ◽  
Surgical Sponge ◽  
Palpable Mass ◽  
Retained Foreign Body

Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 14 months after the hysterectomy due to acute abdominal pain. Gossypiboma was diagnosed by computed tomography (CT). The CT findings were a rounded mass with a dense central part and an enhancing wall. In explorative laparotomy, small bowel loops were seen to be perforated due to inflammation of long standing gossypiboma. Jejunal resection with end-to-end anastomosis was performed. The patient was discharged whithout complication. This case was presented to point to retained foreign body (RFB) complications and we believed that the possibility of a retained foreign body should be considered in the differential diagnosis of who had previous surgery and complained of pain, infection, or palpable mass.

scholarly journals Foreign Body Granuloma

2021 ◽  
Vol 4 (6) ◽  
pp. 01-02
Author(s):  
Pooja Agarwal
Keyword(s):  
Foreign Body ◽  
Biological Response ◽  
Foreign Body Granuloma ◽  
Diagnostic Challenge ◽  
Surgical Sponge ◽  
Radiographic Appearance ◽  
Previous Trauma ◽  
History Of ◽  
The Individual ◽  
Time Of Presentation

Penetration of foreign bodies may present a diagnostic challenge to the surgeon. The foreign body granuloma is a biological response of tissue to any foreign body in the tissue. The pathway of arriving to the diagnosis of foreign body granuloma becomes difficult when patient presents with non specific symptoms such as pain/ swelling, and in history- no recollection of previous trauma. It can be of two types- a) Iatrogenic gossypiboma by retained surgical sponge intra-operatively b) Granulation by a penetrating foreign body such as wooden splinter or other materials. -The most frequent reported injury is to hand, thigh, knee and feet; these may be limited to soft tissue of may be intra articular. The time and type of presentation varies according to the immune status of the individual. In cases, where history of trauma is uncertain, the presentation is very late and the radiographic appearance may be confusing - Median time of presentation: 4 months to 20 years

Gossypiboma - A Diagnostic Dilemma

2021 ◽  
Vol 11 (5) ◽  
pp. 329-332
Author(s):  
Faaizah Shaikh ◽  
Sujoy Mani ◽  
Abhay Gursale
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of ◽  
Gastric Mass ◽  
Vague Abdominal Pain

A surgical sponge is the most common type of retained foreign body (RFB) also known as a gossypiboma (gossypium = cotton, boma = concealment). It is mostly asymptomatic but can lead to a host of symptoms in the patient ranging from pain in the abdomen to anorexia and weight loss. It poses a diagnostic challenge not just for the surgeon but also the radiologist as it can mimic an intraabdominal mass. Here we present a case of a 58 yrs old male who presented with dysphagia and abdominal pain on and off who was radiologically diagnosed as a case of gastric mass and subsequently underwent exploratory laparotomy where it was proven to be a gossypiboma. The case attempts to highlight the importance of keeping gossypiboma as a differential diagnosis for patients with vague abdominal pain and history of a surgery in the past. Key words: gossypiboma, sponge, abdominal pain, computed tomography, foreign body.

scholarly journals Successful Removal of a Chronic Aspirated Foreign Body after Twelve Years

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Radhika Z. Reddy ◽  
Yvonne M. Carter ◽  
David W. Hsia
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Rigid Bronchoscopy ◽  
Tissue Reaction ◽  
Radiographic Evaluation ◽  
Mainstem Bronchus ◽  
Left Mainstem ◽  
History Of ◽  
Successful Removal ◽  
Chronic Pneumonia

Chronic retention of aspirated foreign bodies is rare but can result in indolent systemic and respiratory symptoms. Bronchoscopy may show features of tissue reaction to the foreign body, including granulation tissue, endobronchial stenosis, strictures, edema, and airway distortion. The diagnosis of foreign body aspiration is often difficult to establish since some patients may not give a clear history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. We present the case of a 42-year-old male who had a chronically retained piece of an aluminum beverage container in the left mainstem bronchus for 12 years. Careful history, radiographic evaluation, and bronchoscopic examination revealed the foreign body, which was successfully extracted by rigid bronchoscopy.

scholarly journals Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
K. N. Srivastava ◽  
Amit Agarwal
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Mesenteric Cyst ◽  
Review Of The Literature ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
History Of ◽  
The Right

The term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 38-year-old lady who presented with vague pain and chronic lump in the right iliac fossa region. She had a history of cesarean section 4 years ago. Radiological investigations were inconclusive in detecting the retained sponge. A working diagnosis of mesenteric cyst was made and an exploratory laparotomy was done where she was found to have a large gossypiboma densely adhered to the small bowel and surrounding structures. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation.

Parotid Duct Foreign Body in a Dog Diagnosed with CT

2013 ◽  
Vol 49 (4) ◽  
pp. 250-254 ◽  
Author(s):  
Silas J. Goldsworthy ◽  
Carolyn Burton ◽  
Sergio Guilherme
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Positive Contrast ◽  
Parotid Duct ◽  
Contrast Enhanced ◽  
Facial Swelling ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

A 12 mo old castrated male German shorthaired pointer was referred with a 3 mo history of a recurrent left-sided facial swelling. Contrast-enhanced computed tomography (CT) combined with a positive contrast sialogram revealed the presence of a thick-walled dilated region of the left parotid duct and a normal appearance of the parotid gland. The affected parotid duct, complete with grass seed foreign body, was surgically removed under general anesthesia, and the parotid duct was ligated leaving the parotid gland in situ. Twelve mo later, the dog was doing well with no reported complications.

scholarly journals Retained surgical sponge presenting as a case of intestinal obstruction

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.

scholarly journals AN UNEXPECTED CAUSE OF PERSISTENT DYSPHONIA IN ADULTS!

2020 ◽  
Vol 8 (12) ◽  
pp. 918-921
Author(s):  
Azzam I. ◽  
◽  
Sefrioui Ti ◽  
Nitassi S. ◽  
Bencheikh R. ◽  
...  
Keyword(s):  
Foreign Body ◽  
Mortality Rate ◽  
General Anesthesia ◽  
Common Reason ◽  
Ct Scans ◽  
Significant Morbidity ◽  
Upper Airways ◽  
Paediatric Emergency ◽  
Foreign Objects ◽  
History Of

Inhalation of foreign objects is a common reason in paediatric emergency departments, linked to a significant morbidity or even mortality rate, especially in children under 3 years of age. The occurrence in adults without neurological comorbidity remains rare. We report the case of a 50-year-old with a history of alcohol-smoking intoxication who had suddenly presented a symptomatology associating: dysphonia and dyspnea and after 15 days of evolution, an ENT notice was requested. Cervical CT scans and endoscopy of the upper aerodigestive pathways were performed in an emergency and objectified a glottic foreign body: inhaled denture and not noticed by the patient !!. The extraction of the foreign body under general anesthesia led to the disappearance of dyspnea and dysphonia was gradually improved under treatment. In the case of a foreign body of the upper airways, the absence of penetration syndrome at the examination and a non-specific symptomatology can lead to a diagnostic and therapeutic delay that can have dramatic consequences. At the slightest doubt, an endoscopy of the upper airways under general anesthesia should be performed.

scholarly journals Foreign Body in abdomen

2015 ◽  
Vol 14 (2) ◽  
pp. 210-212
Author(s):  
Md Zakirul Alam ◽  
Mohibul Aziz
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Medical Science ◽  
X Ray ◽  
Diagnostic Center ◽  
History Of ◽  
Upper Abdominal ◽  
Married Female

A 19 years old married female presented with severe upper abdominal pain, repeated vomiting having history of swallowing a knife 7 months ago was admitted in Mordern Clinic and Diagnostic center, Joypurhat, Bangladesh. USG abdomen & X-ray (fig-1) abdomen were done when presence of a large foreign body (knife fig-3) in abdomen was made which latter on confirmed by Endoscopy of upper GIT (fig-2). Surprisingly the patient kept it in her abdomen for 7 months without any symptoms until the symptoms got worse and compelled her to seek medical help. The knife was removed by laparotomy, gastrotomy with uneventful recovery.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.210-212

Antimicrobial Treatment of Acute Otitis Media

1994 ◽  
Vol 103 (5_suppl) ◽  
pp. 11-14 ◽  
Author(s):  
Daniel M. Canafax ◽  
G. Scott Giebink
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Antimicrobial Agents ◽  
Acute Otitis Media ◽  
Antimicrobial Treatment ◽  
Speech Delay ◽  
Significant Morbidity ◽  
Antimicrobial Drugs ◽  
Etiologic Role ◽  
History Of

Episodes of acute otitis media frequently occur in childhood and are attended by significant morbidity, such as hearing loss and possible speech delay. Bacteria play an important etiologic role in the pathogenesis of otitis media; therefore, antimicrobial agents are the cornerstone in the treatment of this disease. Many antimicrobial choices are available for treating children with acute otitis media. To choose an antimicrobial for each patient, consideration must be given to the patient's age, history of otitis media episodes, and responses to previously used antimicrobial drugs, and the regional antimicrobial susceptibility of the otitis media pathogens.

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