Foreign body reaction to a retained surgical sponge (gossypiboma) mimicking an implant associated sarcoma in a dog after a tibial plateau levelling osteotomy

SummaryA dog was presented with the complaint of an acute onset left pelvic limb lameness three years after a right tibial plateau levelling osteotomy had been performed. Radiographs taken at the time of presentation showed signs that were consistent with a diagnosis of an implant associated sarcoma. At revision surgery, a retained surgical sponge was identified, leading to a diagnosis of a gossypiboma. This is the first reported case of a gossypiboma as a complication of a tibial plateau levelling osteotomy surgery.

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Small Bowel Perforation due to Gossypiboma Caused Acute Abdomen

Case Reports in Surgery ◽

10.1155/2013/219354 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 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.

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RETAINED SURGICAL SPONGE IN ABDOMEN – A CASE REPORT

10.36106/ijsr/8001678 ◽

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.

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Foreign Body Granuloma

Journal of Surgical Case Reports and Images ◽

10.31579/2690-1897/083 ◽

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

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Tibial plateau levelling osteotomy in an alpaca

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-08-11-0111 ◽

2009 ◽

Vol 22 (04) ◽

pp. 332-335 ◽

Cited By ~ 1

Author(s):

N. M. Girard ◽

J. O’Riordan ◽

N. Fitzpatrick ◽

T. J. Smith

Keyword(s):

Tibial Plateau ◽

Cruciate Ligament ◽

Clinical Signs ◽

Acute Onset ◽

Radiographic Examination ◽

Tibial Osteotomy ◽

Cranial Cruciate Ligament ◽

Stifle Joint ◽

Pelvic Limb ◽

The Right

SummaryIn this report, a case of cranial cruciate ligament (CrCL) rupture treated by tibial plateau levelling osteotomy (TPLO), in a 36-month-old male breeding alpaca, is described. The alpaca was presented with the complaint of acute onset of right pelvic limb lameness. The findings of our clinical and radiographic examinations were consistent with CrCL insufficiency of the right stifle joint. The right tibial plateau angle measured prior to surgery was 19°. A TPLO was performed and this eliminated cranial tibial thrust. Culture of a swab taken from the surgical site prior to wound closure was positive for Pseudomonas aeruginosa. Enrofloxacin was administered parenterally for two weeks postoperatively. There were not any clinical signs of infection noted. Outcome assessments included veterinary examination (two and six weeks) and owner assessment (28 months). At two weeks the animal walked with a grade 2/5 lameness, and at six weeks radiographic examination showed progression of bone healing at the site of tibial osteotomy. A return to full breeding fitness occurred by eight weeks after the surgery. The alpaca remained free from lameness 28 months later, according to the owner.

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Extraskeletal Osteosarcoma Induced by a Foreign Body Granuloma

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-6224 ◽

2015 ◽

Vol 51 (5) ◽

pp. 315-319 ◽

Cited By ~ 3

Author(s):

Jennifer E. Slovak ◽

Nina R. Kieves ◽

Joseph Haynes

Keyword(s):

Foreign Body ◽

Poor Prognosis ◽

Foreign Bodies ◽

Foreign Body Granuloma ◽

Preliminary Evaluation ◽

Extraskeletal Osteosarcoma ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Histopathological Findings ◽

Abdominal Organs

An 8 yr old spayed female Italian greyhound was presented with a mass in the cranial abdomen. Preliminary evaluation of the dog revealed a large, cavitary, irregularly shaped mass with no definitive association with any abdominal organs. During an exploratory celiotomy, a 16 cm × 12 cm × 6 cm mass was removed. On subsequent histopathology, extraskeletal osteosarcoma induced by a foreign body granuloma was diagnosed. The foreign body granuloma, based on histopathological findings, was suspected to be secondary to a retained surgical sponge from her routine ovariohysterectomy performed 7 yr prior to presentation. Animals with granulomas induced by foreign bodies can remain asymptomatic for years; however, those granulomas can progress to extraskeletal osteosarcomas, which carry a poor prognosis.

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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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