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 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 Management of Small Bowel Perforation by a Bizarre Foreign Body in a 55-Year-Old Woman

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Francesca D’Auria ◽  
Vincenzo Consalvo ◽  
Antonio Canero ◽  
Maria Russo ◽  
Carmela Rescigno ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Acute Abdominal Pain ◽  
Bowel Perforation ◽  
Abdominal Cavity ◽  
Small Bowel Perforation ◽  
Intestinal Fluid ◽  
Mussel Shell ◽  
Delay In Diagnosis ◽  
Surgical Devices

Introduction. Ingestion of foreign bodies including dentures, fishbone, screw, and/or surgical devices can be a cause of morbidity, and it rarely could be fatal. Presentation of Case. We present the first hitherto reported case of mussel shell ingestion, which caused acute abdominal pain in a 55-year-old woman. The shell pierced ileal loops, and it was found in the abdominal cavity. Discussion. The accidental or voluntary ingestion of a foreign body is an uncommon event compared to the other causes of bowel perforation. It is fundamental to immediately remove the intestinal fluid, repair the tear, and prevent sepsis, because each delay in diagnosis can lead to a worst outcome. Conclusion. In case of bowel perforation, it important for surgeons, who are dealing with these acute care patients, to be aware of different designs and constructions of possible foreign bodies, in order to be prepared to deal with different possible scenarios and be able to manage them properly.

scholarly journals Surgical Sponge After Splenectomy: A Rare Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 3793-3795
Author(s):  
Yashwant R. Lamture ◽  
Varsha Gajbhiye ◽  
Aditya Mundada
Keyword(s):  
Foreign Body ◽  
Operative Procedure ◽  
Abdominal Cavity ◽  
Postoperative Recovery ◽  
Body Cavity ◽  
Blunt Injury ◽  
Lumbar Region ◽  
Surgical Sponge ◽  
Retained Foreign Body ◽  
The Right

A gossypiboma is a cotton sponge retained in the abdominal cavity after the operative procedure. It leads to tremendous morbidity, loss of money and even occasional death of the patient. Another problem on the part of treating the surgeon is defamation and medicolegal issue. We report a case of a 25- year young man presented with pain in abdomen and vomiting for six months, History of a lump in the right lumbar region for two months and with constipation for five days. He had operated for splenectomy after a blunt injury to the abdomen eight months back. On clinical examination, adhesive obstruction of bowel was suspected. On computed tomography, (CT), a foreign body was revealed. On laparotomy, there was evidence of sponge in a jejunum. By doing enterotomy, a large sponge was removed. Postoperative recovery was not associated with significant complications. An essential precaution is to look for retained foreign body and confirmation before the closure of any body cavity, as there may even after all precautionary exercises, occur retention of foreign bodies. Hence consider always the possibility of gossypiboma in the differential diagnosis of chronic abdominal pain or a mass in patients with a history surgery.

scholarly journals Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Medicine ◽  
2019 ◽  
Vol 98 (30) ◽  
pp. e16489 ◽  
Author(s):  
Tantan Ma ◽  
Wentao Zheng ◽  
Beiying An ◽  
Yan Xia ◽  
Geng Chen
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Acute Appendicitis ◽  
Bowel Perforation ◽  
Foreign Body Ingestion ◽  
Small Bowel Perforation

CASE REPORT: SMALL BOWEL PERFORATION WITH A FOREIGN BODY MIMICKING ACUTE PANCREATITIS

2018 ◽  
Vol 1 ◽  
pp. 23-27
Author(s):  
O.Kh. Khalidov ◽  
◽  
V.S. Fomin ◽  
A.N. Gudkov ◽  
A.S. Borodin ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Foreign Body ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation

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.

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.

Retained foreign body migration to the colon: A rare cause of small bowel obstruction

2017 ◽  
Vol 1 (1) ◽  
pp. 35
Author(s):  
Nada Garrouche ◽  
Ibtissem Hasni ◽  
Jaafar Mazhoud ◽  
Hiba Hassine ◽  
Hela Jemni
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Retained Foreign Body ◽  
Foreign Body Migration

Traumatic Decompression of the Jejunum: A Case of Small Bowel Perforation From High-Speed Motor Vehicle Crash

2020 ◽  
Vol 86 (11) ◽  
pp. 1535-1537
Author(s):  
Jeffrey Stern ◽  
Rahul J. Anand
Keyword(s):  
Small Bowel ◽  
Ct Scan ◽  
High Speed ◽  
Motor Vehicle ◽  
Bowel Perforation ◽  
Abdominal Cavity ◽  
Motor Vehicle Crash ◽  
Physical Exam ◽  
Vehicle Crash ◽  
Operative Exploration

We present a rare case of a focal perforation of the jejunum after a high-speed motor vehicle crash. A 60-year-old restrained rear seat passenger presented with severe abdominal pain. She was hemodynamically stable and underwent the traditional trauma workup. CT scan of the abdomen showed large-volume free intraperitoneal air and L4/L5 compression fractures. Given the peritoneal physical exam finding and free air on CT scan she was taken emergently to the operating room. Operative exploration revealed free intraperitoneal air upon entry into the abdominal cavity as well as murky fluid throughout the mid abdomen. A focal perforation was discovered on the antimesenteric surface of a segment of jejunum. The perforation was repaired primarily in two layers and the abdomen was closed. Postoperative course was uncomplicated. Antibiotics were continued for 4 days. Focal perforation of the small bowel from high-speed blunt trauma is a rare isolated injury. Close attention to physical exam and radiologic findings allows for early diagnosis and treatment of these injuries.

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