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.

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 RETAINED SURGICAL SPONGE IN ABDOMEN – A CASE REPORT

2021 ◽  
pp. 1-2
Author(s):  
Navdeep Kaur ◽  
Harvinder Singh Chhabra ◽  
Amandeep Kaur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Early Diagnosis ◽  
Abdominal Cavity ◽  
Major Complication ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Retained Foreign Body ◽  
Undesirable Event ◽  
Before And After

Retained foreign body is a major complication that can occur in early or delayed postoperative period having both clinical as well as medicolegal implications. We hereby report a case of 47-year-old female with retained surgical sponge in abdominal cavity after hysterectomy. Thorough count of all sponges before and after any surgery can aid in avoiding such an undesirable event and preferable use of labelled sponges can help in early diagnosis in such cases.

scholarly journals Multiple Colonic Radiopaque Foreign Bodies in a 7-Year-Old Child: The Plain Radiographic Features and a Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 01-03
Author(s):  
Sule MB ◽  
Gele IH ◽  
Shirama YB ◽  
Abacha M ◽  
Ribah MM
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Body Cavity ◽  
The Body ◽  
Abdominal Radiograph ◽  
Behavioral Abnormality ◽  
History Of ◽  
Males And Females

Foreign bodies are uncommon and may be ingested, inserted into a body cavity or deposited in the body by traumatic or iatrogenic injury. Foreign body ingestion is more common in children with equal incidence in males and females, and has a peak incidence in the ages between six months to three years. This is a case of a seven-year-old male child with behavioral abnormality and long history of ingestion of foreign bodies who presented with abdominal pain and discomfort with passage of hard solid stone like particles in feaces. The patient had a conventional abdominal radiograph that showed multiple radiopaque structures of varying sizes, some of which are clump-like in the peripheral abdomen; the large colon and region of the rectum.

scholarly journals Intraluminal Meigration of Gossypiboma without Intestinal Obstruction for Fourteen years

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.

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

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 Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Delayed Titanium Hypersensitivity and Retained Foreign Body Causing Late Abdominal Complications

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Molly S. Jain ◽  
Sivasthikka Lingarajah ◽  
Enkhmaa Luvsannyam ◽  
Manoj Reddy Somagutta ◽  
Ravi Pankajbhai Jagani ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Medical History ◽  
Unusual Case ◽  
Allergic Reactions ◽  
Pigtail Catheter ◽  
Medical Field ◽  
Abdominal Complications ◽  
Retained Foreign Body ◽  
Abdominal Symptoms

Titanium is a known metal used widely in the medical field and can cause allergic reactions with complications. Our case is about a 28-year-old female presenting with a spectrum of abdominal symptoms with a complicated medical history. The abdominal pain is associated with titanium allergy reaction from previously inserted titanium-based surgical clips. This patient is concurrently found to have a retained pigtail catheter in the cecum discovered incidentally through radiology. We discuss the presentation, investigations, and treatment of this unusual case. The case also unfolds rare differential diagnoses to keep in mind when encountering a patient with abdominal pain and associated nonspecific symptoms.

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

scholarly journals A 37-year-old man presented with abdominal distention and shortness of breathing

2020 ◽  
Vol 13 (3) ◽  
pp. 90-96
Author(s):  
Samia Rahman ◽  
Shamim Ahmed ◽  
Rajashish Chakrabortty ◽  
Mohammed Atiqur Rahman ◽  
Chowdhury Meshkat Ahmed
Keyword(s):  
Abdominal Pain ◽  
Heart Disease ◽  
Abdominal Distension ◽  
Abdominal Distention ◽  
History Of

This article has no abstract. The first 100 words appear below: A 37-year-old man hailing from Comilla, Bangladesh (about 100 km from the capital, Dhaka, Bangladesh) got admitted himself into out department on 18th  February 2020 with the complaints of abdominal distention for 9 months and shortness of breathing for 7 months. The abdominal distension was sudden in onset, progressive in nature, but there was no history of jaundice, oliguria, any heart disease, or abdominal pain. About 7 months ago, the patient experienced shortness of breathing, which was sudden in onset, gradually progressive, and occurring in mild exertion. It was so severe that the patient was unable to perform his day to day activities.

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