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 ◽  
...  

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.

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Aghyad K Danial ◽  
Ahmad Al-Mouakeh ◽  
Yaman K Danial ◽  
Ahmad A Nawlo ◽  
Ahmad Khalil ◽  
...  

Abstract Small bowel diaphragm disease is a rare complication related to non-steroidal anti-inflammatory drug (NSAID) use. It presents with non-specific symptoms such as vomiting, abdominal pain, subacute bowel obstruction and occasionally as an acute abdominal condition. We report a case of diaphragm disease in a 33-year-old female who presented with vomiting, constipation and abdominal pain started 5 days earlier. Physical examination revealed palpated abdominal mass. The patient’s past medical history was remarkable for NSAID use. The patient was managed by surgical resection of involved intestine and diagnosis was confirmed by histological examination. Although there are few published cases of diaphragm disease in the medical literature, we recommend that this disease should be considered as one of the differential diagnoses when assessing patients presenting with non-specific abdominal symptoms with remarkable past medical history of NSAID use.


2020 ◽  
Vol 77 ◽  
pp. 86-90
Author(s):  
Matteo Gelardi ◽  
Nicola De Candia ◽  
Eleonora M.C. Trecca ◽  
Michele Cassano ◽  
Nicola A.A. Quaranta

2021 ◽  
Vol 11 (5) ◽  
pp. 329-332
Author(s):  
Faaizah Shaikh ◽  
Sujoy Mani ◽  
Abhay Gursale

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.


2020 ◽  
Vol 12 (2) ◽  
pp. 123-125
Author(s):  
Amir H Boghratian ◽  
Ahmad M Al-Taee

Gossypiboma refers to inadvertently retained foreign objects after surgical operations. High body mass index and emergency surgery are risk factors of the condition. Presenting symptoms are usually non-specific and it may result in serious complications such as bowel obstruction. Removal can be attempted with endoscopic or surgical approaches depending on the site and presence of complications. This case highlights the need for considering gossypiboma in patients presenting with abdominal symptoms after recent abdominal surgery. Herein we report the case of a 30-year-old woman with abdominal pain two months after mini-gastric bypass surgery. Cross-sectional imaging showed a hyperdense area in the small bowel concerning for malignancy. However, upper endoscopy revealed a 10 × 40 cm retained surgical gauze in the afferent loop that was successfully retrieved. Although rare, retained foreign body should be considered in the differential diagnosis of postoperative abdominal pain.


2021 ◽  
Vol 116 (1) ◽  
pp. S1449-S1449
Author(s):  
Ranjit Makar ◽  
Arnav Saud ◽  
pre ◽  
Gagandeep Kaur ◽  
Joseph J. Alukal ◽  
...  

2021 ◽  
Vol 10 (3) ◽  
pp. 412-416
Author(s):  
Chiemelu Dickson Emegoakor ◽  
Henry Chukwuka Nzeako ◽  
Kenneth Oluchukwu Ugwuanyi ◽  
Celestine Ifeanacho Okafor ◽  
Arinze Chukwuma Ijezie

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.


2015 ◽  
Vol 05 (02) ◽  
pp. 084-087
Author(s):  
Keshav K Bhat ◽  
Chinnappa A G. ◽  
Muralee Mohan ◽  
Harish Shetty ◽  
Suman Banerjee

AbstractIntraorbital foreign bodies often present a confusing clinical picture and managing them remains a challenging experience to the oral and maxillofacial surgeons. Wooden foreign bodies are notorious for remaining quiescent for a long time, before presenting with a variety of complications. The wound of entry may often be small and self-sealing. Wooden foreign bodies also show a propensity to break during attempted removal. Intraorbital wood is often not detected by standard diagnostic tests like the computed tomography scan, adding to the diagnostic dilemma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This interventional case report of an unusual case of a wooden intraorbital foreign body reviews the clinical features, radiological appearance and surgical management. Details of ocular history, preoperative ocular examination findings including visual acuity, computed tomography findings were noted. Early surgical exploration was carried out with blunt dissection and careful hemostasis. Thus the foreign body extraction greatly influenced the visual prognosis and final outcome of the patient.


BDJ ◽  
2005 ◽  
Vol 198 (6) ◽  
pp. 337-339 ◽  
Author(s):  
A Auluck ◽  
A G Behanan ◽  
K M Pai ◽  
C Shetty

Cureus ◽  
2022 ◽  
Author(s):  
Subrat Panda ◽  
Ananya Das ◽  
Rituparna Das ◽  
Nalini Sharma ◽  
Vinayak Jante

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