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.

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 Complete Intraluminal Migration of Surgical Sponge (Gossypiboma) With Complete Intestinal Obstruction

KYAMC Journal ◽  
2017 ◽  
Vol 4 (1) ◽  
pp. 362-365
Author(s):  
Mohd Farid Hossain ◽  
Anisur Rahman ◽  
Abdur Rouf
Keyword(s):  
Intestinal Obstruction ◽  
Open Cholecystectomy ◽  
Exploratory Laparotomy ◽  
Internal Communication ◽  
Surgical Sponge ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Intraluminal Mass ◽  
Intraluminal Migration

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

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 Intestinal Obstruction and Ileocolic Fistula due to Intraluminal Migration of a Gossypiboma

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Evangelos Margonis ◽  
Dionysia Vasdeki ◽  
Alexandros Diamantis ◽  
Georgios Koukoulis ◽  
Grigorios Christodoulidis ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Surgical Complication ◽  
Intestinal Lumen ◽  
Rare Entity ◽  
Surgical Sponge ◽  
Surgical Department ◽  
Obstructive Ileus ◽  
Intraluminal Migration

Gossypiboma refers, as a term, to a retained surgical sponge. It is considered as a rare surgical complication which can occur despite precautions. We report a case of a 36-year-old woman who was admitted to our surgical department with symptoms of abdominal pain associated with episodes of nausea and vomiting that lasted for 2 months. Six months ago she had undergone a cesarean section in a private clinic. Computed tomography revealed a high-density mass occupying a portion of the intestinal lumen, which was reported as a “calcified parasite.” The patient was subjected to laparotomy. The intraoperative findings included signs of obstructive ileus and ileosigmoid fistula and a large sponge was found at the resected portion of the small intestine. Although gossypiboma is a rare entity, it should be included in the differential diagnosis.

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 FMT for chronic intestinal obstruction caused by constrictive pericarditis: a case report

2020 ◽  
Author(s):  
Huan Chen ◽  
ZiJie Wang ◽  
Qing Hu ◽  
Mingming Deng ◽  
MuHan Lü ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Nutritional Status ◽  
Cardiac Function ◽  
Intestinal Obstruction ◽  
Constrictive Pericarditis ◽  
Colonic Mucosa ◽  
Fecal Microbiota Transplantation ◽  
Fecal Microbiota

Abstract A 62-year-old man presented to our department with repeated vomiting, abdominal pain, bloating, and constipation. Echocardiography and computed tomography revealed his thickened pericardium with multiple eggshell-like calcifications, and incomplete intestinal obstruction. Colonoscopy showed extensive focal erosions in the colonic mucosa. After fecal microbiota transplantation, the patient's nutritional status was improved, intestinal obstruction was relieved, and his cardiac function his was restored. This case may provide a new option for the treatment of refractory incomplete intestinal obstruction.

scholarly journals GALL STONE ILEUS

2007 ◽  
Vol 14 (04) ◽  
pp. 697-700
Author(s):  
MUHAMMAD ZUBAIR ◽  
MUHAMMAD AMIR
Keyword(s):  
Computed Tomography ◽  
Gall Bladder ◽  
Intestinal Obstruction ◽  
Bowel Wall ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Diagnostic Evaluation ◽  
Gall Stone Ileus

Gallstone ileus (GSI) is an uncommon cause of intestinal obstruction. Theformation of a fistula between the gall bladder and the bowel wall may allow a gallstone to enter the intestinal tract.Plain abdominal films, abdominal ultrasound and abdominal computed tomography aid in the diagnosis. Surgery is thetreatment of choice in cases of gallstone ileus rate. We describe the case of a 68-year-old man who presented withsymptoms and signs of intestinal obstruction. Diagnostic evaluation revealed a large gallstone impacted in the ileum.The patient was scheduled for exploratory laparotomy. At the time of surgery stone was found in the sigmoid colon.It was milked down and brought out through the rectum.

Incidental Diagnosis of Pseudomyxoma Peritonei After Emergent Splenectomy

2020 ◽  
pp. 000313482095482
Author(s):  
Alexandra C. Ferre ◽  
Matthew Burstein ◽  
Kevin M. El-Hayek
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pseudomyxoma Peritonei ◽  
Exploratory Laparotomy ◽  
Histological Evaluation ◽  
Splenic Trauma ◽  
Computed Tomography Imaging ◽  
Moderate Amount ◽  
Tomography Imaging ◽  
Unexpected Findings

Pseudomyxoma peritonei (PMP) is a rare disease associated with mucinous ascites. Pseudomyxoma peritonei has a low incidence and is difficult to diagnose. Pseudomyxoma peritonei usually presents with vague abdominal pain after significant progression. Computed tomography imaging is the most common modality for diagnosis; however, diagnosis as a result of surgical intervention in cases of acute abdomen has become increasingly common. We present a unique case of a 66-year-old man who was incidentally diagnosed with PMP after undergoing an emergent splenectomy for presumed blunt trauma. The patient presented to the emergency room with abdominal pain, shortness of breath, and diaphoresis. Computed tomography imaging revealed a splenic hematoma with suspicion of extravasation and a moderate amount of free intraperitoneal fluid consistent with blood. The patient was taken to the operating room emergently for an emergent splenectomy where splenic laceration was noted, as were multiple areas of nodularity in the omentum and cecum. Histologic evaluation of these lesions led to the diagnosis of PMP. After recovery from his initial splenectomy, the patient underwent exploratory laparotomy, cytoreductive surgery, cholecystectomy, removal of appendiceal mucocele, and hyperthermic intraperitoneal chemotherapy without complication. Final pathology was consistent with PMP and primary mucinous appendiceal adenocarcinoma. This case highlights an unusual presentation of PMP for a patient who was undergoing surgery for presumed splenic trauma. Surgeons must maintain a high index of suspicion and should perform histological evaluation when such unexpected findings are encountered.

scholarly journals Watch What You Swallow!—A Rare Cause of Not So Rare Entity Presenting to the Emergency Room

2019 ◽  
Vol 02 (01) ◽  
pp. 049-052
Author(s):  
Pratik Mukherjee ◽  
Daniel Wu Peng ◽  
Ashish Chawla
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Acute Appendicitis ◽  
Emergency Room ◽  
Complete Recovery ◽  
Foreign Body Ingestion ◽  
Rare Entity ◽  
Inflammatory Changes

AbstractForeign-body ingestion is a rare cause for acute appendicitis. The authors report a case of a 48-year-old man who presented with abdominal pain for 3 days. Computed tomography (CT) revealed a foreign body in the appendix with peri-appendicular inflammatory changes. The patient underwent a successful appendectomy with complete recovery.

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