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1
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Ball E, Larkin A, Hung G. Computed tomography of a canine omental torsion secondary to a chronic abdominal gossypiboma and concurrent incidental broad ligament torsion. Vet Radiol Ultrasound 2024; 65:193-198. [PMID: 38349209 DOI: 10.1111/vru.13334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/04/2024] [Accepted: 01/08/2024] [Indexed: 05/12/2024] Open
Abstract
A 5-year-old female spayed Dogue de Bordeaux was referred for concerns of an abdominal mass and peritoneal effusion. Abdominal radiographs identified a mid-ventral abdominal soft tissue opaque mass containing a radiopaque marker consistent with a gossypiboma. Contrast-enhanced abdominal CT identified two whirl signs associated with the abdominal gossypiboma. Exploratory laparotomy confirmed an omental torsion with encapsulated gossypiboma and concurrent incidental torsion of the remnant of the right broad ligament. Based on a literature review, omental torsions are an unreported complication of gossypibomas in canids.
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Affiliation(s)
- Emily Ball
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
| | - Amy Larkin
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
| | - Germaine Hung
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
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2
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Haleem S, Mahmoud MH, Kainth GS, Botchu R, Hassan MF, Rehousek P. A perioperative overview of a retained surgical swab in spinal surgery: Case report and prevention protocol. J Perioper Pract 2024; 34:101-105. [PMID: 37125625 DOI: 10.1177/17504589231163685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
INTRODUCTION Retained wound swabs although classified as a 'never event' and well documented in many surgical specialties are uncommon in spinal surgery. The aim of this article is to highlight the perioperative circumstances of an incident of a retained surgical swab and present a prevention protocol, in an attempt to eliminate its incidence. CASE REPORT The perioperative management of a 53-year-old male undergoing spinal surgery in whom a surgical swab was retained is reported. In addition to existing safety procedures such as the World Health Organization checklist, a Retained Surgical Swab-Prevention Protocol was implemented in our hospital and is presented to eliminate the occurrence of this 'never event' occurring again. CONCLUSION Retained surgical swabs or instruments are rare in spinal surgery occurring mostly in the lumbar spine, during emergency and prolonged procedures in patients with high body mass index. Maintaining a high index of suspicion and utilising a prevention protocol will prevent further harm to the patient.
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3
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Kanat BH, Kutluer N, Bozan MB, Aksoy N, Öztürk T. A FORGOTTEN STATUS: GOSSYPIBOMA. ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA : ABCD = BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY 2021; 34:e1571. [PMID: 34008712 PMCID: PMC8121046 DOI: 10.1590/0102-672020190004e1571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 11/21/2020] [Indexed: 01/16/2023]
Affiliation(s)
- Burhan Hakan Kanat
- University of Health Sciences, Elazığ City Hospital, Department of General Surgery, Elazig/Turkey
| | - Nizamettin Kutluer
- University of Health Sciences, Elazığ City Hospital, Department of General Surgery, Elazig/Turkey
| | - Mehmet Buğra Bozan
- Medical Faculty of Kahramanmaras Sutcu Imam University, Department of General Surgery, Kahramanmaras/Turkey
| | - Nurullah Aksoy
- Siverek State Hospital, Department of General Surgery, Şanlıurfa/Turkey
| | - Tülin Öztürk
- University of Health Sciences, Elazığ City Hospital, Department of Radiology, Elazig/Turkey
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4
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Yoshida R, Yoshizako T, Sonoyama H, Ryoji H, Iwahashi T, Ishikawa N, Tajima Y, Kitagaki H. Gossypiboma penetrating into the small intestine similar to Meckel's diverticulum: a report and literature review. Radiol Case Rep 2020; 15:655-659. [PMID: 32280395 PMCID: PMC7136597 DOI: 10.1016/j.radcr.2020.02.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 02/25/2020] [Accepted: 02/26/2020] [Indexed: 12/05/2022] Open
Abstract
Foreign body granuloma due to retained surgical sponge (gossypiboma) with penetration into the small intestine is very rare. Cases of gossypiboma in the abdominal cavity have sometimes been reported, yet the correct incidence has not been determined, only estimated to occur in one of every 1,000 to 1,500 intra-abdominal operations. Acute abdomen may be observed in some cases, requiring treatment. We herein introduce the case of a 70-year-old woman with gossypiboma penetrating into the small intestine presented with anemia and hematochezia. She had a history of emergency laparotomy for ectopic pregnancy several decades ago. A dynamic contrast-enhanced computed tomography revealed a hypovascular mass containing air bubbles that continued to the small intestine approximately 50 mm in size in the right lower abdomen. In addition to describing the presentation and outcome of our patient, we review the image findings of gossypiboma.
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Affiliation(s)
- Rika Yoshida
- Faculty of Medicine, Department of Radiology, Shimane University
| | | | - Hiroki Sonoyama
- Faculty of Medicine, Department of Gastroenterology, Shimane University
| | - Hyakudomi Ryoji
- Faculty of Medicine, Department of Digestive and General Surgery, Shimane University
| | - Teruaki Iwahashi
- Faculty of Medicine, Department of Organ Pathology, Shimane University
| | | | - Yoshitsugu Tajima
- Faculty of Medicine, Department of Digestive and General Surgery, Shimane University
| | - Hajime Kitagaki
- Faculty of Medicine, Department of Radiology, Shimane University
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5
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Chatzimisios K, Patsikas M, Angelou V, Tragoulia I, Papazoglou LG. Surgical and computed tomographic findings of retained surgical sponges in two dogs following abdominal surgery. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2019-000948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Kyriakos Chatzimisios
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Michael Patsikas
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Vasileia Angelou
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Ioanna Tragoulia
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Lysimachos G Papazoglou
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
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6
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Ryazantsev AA, Yudin AL, Yumatova EA. Medical imaging of textile iatrogenic foreign bodies in abdomen and pelvis. MEDICAL VISUALIZATION 2019:100-113. [DOI: 10.24835/1607-0763-2019-4-100-113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2025]
Abstract
Aim. To systematize modern literature data on medical imaging of textile iatrogenic foreign bodies.Materials and methods. We analyzed the articles about the identification of textile iatrogenic foreign bodies, published until 2019.Discussion. Foreign body detection should be included in the differential diagnostic algorithm for patients who have a history of surgical interventions and unexplained symptoms. In all cases of suspected iatrogenic foreign body, it is desirable to use at least two available techiques of medical imaging: ultrasound, X-ray, MDCT, MRI.Conclusions. Left foreign body entails medical and legal consequences that adversely affect both the reputation of the surgeon and the reputation of the medical institution, as they are considered a classic example of iatrogenic damage and indicate a violation of the quality standards of medical care. The article presents data on the features of medical imaging of textile iatrogenic foreign bodies left in the patient’s body as a result of planned and emergency surgical interventions, and determining the optimal tactics for examination and treatment of this category of patients.
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Affiliation(s)
- A. A. Ryazantsev
- Research clinical center of JSC “Russian Railways”; Russian medical academy continuous professional education
| | - A. L. Yudin
- Pirogov Russian National Research Medical University of the Ministry of Health of Russia
| | - E. A. Yumatova
- Pirogov Russian National Research Medical University of the Ministry of Health of Russia
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7
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Small-bowel obstruction owing to kitchen sponge eating as a pica behavior: A case report. Radiol Case Rep 2019; 14:1100-1102. [PMID: 31338134 PMCID: PMC6629919 DOI: 10.1016/j.radcr.2019.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 06/13/2019] [Accepted: 06/26/2019] [Indexed: 12/04/2022] Open
Abstract
Small-bowel feces sign is useful to detect the corresponding site of stenosis or obstruction in patients with moderate and high degrees of small-bowel obstruction. The CT findings of kitchen sponge are very similar to small-bowel feces sign. With careful image interpretation, it is possible to judge whether the cause of obstruction is sponge. We report a case of a 26-year-old man small-bowel obstruction due to kitchen sponge eating as pica behavior, focusing on image findings.
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8
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McDougall RA, Dycus DL. What Is Your Diagnosis? J Am Vet Med Assoc 2019; 254:1045-1047. [DOI: 10.2460/javma.254.9.1045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Butt UI, Shafiq AB, Umar M, Ashfaq M, Ayyaz M. Transmigration and spontaneous passage of a gossypiboma documented on contrast study. Ann Med Surg (Lond) 2019; 38:42-44. [PMID: 30655970 PMCID: PMC6329201 DOI: 10.1016/j.amsu.2018.10.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 10/14/2018] [Accepted: 10/15/2018] [Indexed: 11/26/2022] Open
Abstract
Gossypiboma or textiloma is a rare but very unfortunate complication of surgery. It refers to a retained foreign body usually forgotten within the abdominal cavity at the end of an operation. It may be a surgical sponge, gauze pad or other form of textile. We present the case of a middle aged lady who following cholecystectomy had a forgotten gauze which underwent transmural migration and was later expelled via the rectum demonstrated by radiological studies.
Gossypiboma. Transvisceral migration. Spontaneous expulsion. Radiological study.
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Affiliation(s)
| | | | - Muhammad Umar
- Surgical Unit 2, Services Hospital, Lahore, Pakistan
| | - Maryam Ashfaq
- Surgical Unit 2, Services Hospital, Lahore, Pakistan
| | - Mahmood Ayyaz
- Surgical Unit 2, Services Hospital, Lahore, Pakistan
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10
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Moomjian LN, Clayton RD, Carucci LR. A Spectrum of Entities That May Mimic Abdominopelvic Abscesses Requiring Image-guided Drainage. Radiographics 2018; 38:1264-1281. [PMID: 29995617 DOI: 10.1148/rg.2018170133] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A variety of entities may mimic drainable abscesses. This can lead to misdiagnosis of these entities, unnecessary percutaneous placement of a pigtail drainage catheter, other complications, and delay in appropriate treatment of the patient. Types of entities that may mimic drainable abscesses include neoplasms (lymphoma, gallbladder cancer, gastrointestinal stromal tumor, ovarian cancer, mesenteric fibromatosis, ruptured mature cystic teratoma, recurrent malignancy in a surgical bed), ischemia/infarction (liquefactive infarction of the spleen, infarcted splenule), diverticula (calyceal, Meckel, and giant colonic diverticula), and congenital variants (obstructed duplicated collecting system). Postoperative changes, including expected anatomy after urinary diversion or Roux-en-Y gastric bypass and small bowel resection, may also pose a diagnostic challenge. Nonpyogenic infections (Mycobacterium tuberculosis, Mycobacterium avium complex, echinococcal cysts) and inflammatory conditions such as xanthogranulomatous pyelonephritis and gossypiboma could also be misinterpreted as drainable fluid collections. Appropriate recognition of these entities is essential for optimal patient care. This article exposes radiologists to a variety of entities for which percutaneous drainage may be requested, but is not indicated, and highlights important imaging findings associated with these entities to facilitate greater diagnostic accuracy and treatment in their practice. ©RSNA, 2018.
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Affiliation(s)
- Lauren N Moomjian
- From the Department of Radiology, Virginia Commonwealth University Medical Center, 1250 E Marshall St, PO Box 980615, Richmond, VA 23298
| | - Ryan D Clayton
- From the Department of Radiology, Virginia Commonwealth University Medical Center, 1250 E Marshall St, PO Box 980615, Richmond, VA 23298
| | - Laura R Carucci
- From the Department of Radiology, Virginia Commonwealth University Medical Center, 1250 E Marshall St, PO Box 980615, Richmond, VA 23298
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11
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Dalgic A, Kandogan T, Gonullu H, Erkan N. Retained Gauze Material in the Nasal Cavity after Functional Endoscopic Sinus Surgery for Ten Years: A Case Report. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791001700514] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
We report a case of retained packing gauze material in the right nasal cavity for ten years. A 55-year-old woman presented to the emergency service with headache, nasal discharge, and epistaxis from the right nasal cavity. Her past surgical history included a functional endoscopic sinus surgery because of nasal polyposis 10 years ago. In the endoscopic nasal examination, foreign body similar to nasal packing material about 5 cm in length was detected in the right anterior ethmoid sinus. CT of the paranasal sinuses showed only loss of aeration in the right nasal cavity. The nasal packing material was removed under local anaesthesia on the same day. Foreign body left behind after operation is a serious medicolegal issue and is often under-reported.
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Affiliation(s)
- A Dalgic
- Izmir Bozyaka Teaching and Research Hospital, Department of Otolaryngology, Bozyaka Izmir, Turkey
| | - T Kandogan
- Izmir Bozyaka Teaching and Research Hospital, Department of Otolaryngology, Bozyaka Izmir, Turkey
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12
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Changes in computed tomography findings according to the chronicity of maxillary sinus gossypiboma. J Craniofac Surg 2015; 25:e330-3. [PMID: 24978684 DOI: 10.1097/scs.0000000000000594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The present report describes a case of gossypiboma in the maxillary sinus after treatment for the fracture of the orbital floor with review of the literatures on this interesting disease entity. The suspicion of gossypiboma should be raised when a patient with a history of previous sinonasal surgery, especially Caldwell-Luc approach, presents with chronic recurrent or refractory sinusitis. Because of the rarity of reported cases, typical computed tomography findings of gossypiboma in the sinonasal area have not been established. In the present case, because the gauze was retained for 25 years in the maxillary sinus, computed tomography findings revealed nonspecific findings. Because a foreign body left behind after operation may lead to a serious medicolegal issue, it is worth reemphasizing that the best general approach to retained surgical foreign body is to prevent its occurrence.
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13
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Dhaliwal HS, Sinha SK, Kochhar R. Symptomatic gossypiboma diagnosed by characteristic findings on endoscopic ultrasound. Dig Endosc 2015; 27:783. [PMID: 26257261 DOI: 10.1111/den.12532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Revised: 07/23/2015] [Accepted: 08/06/2015] [Indexed: 02/08/2023]
Affiliation(s)
- Harpal S Dhaliwal
- Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
| | - Saroj K Sinha
- Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Rakesh Kochhar
- Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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14
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Gossypiboma presenting as coloduodenal fistula--report of a rare case with review of literature. Int Surg 2015; 99:126-31. [PMID: 24670021 DOI: 10.9738/intsurg-d-13-00057.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
The term gossypiboma is used to describe a mass of cotton matrix left behind in a body cavity intraoperatively. The most common site reported is the abdominal cavity. It can present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37-year-old woman presented with pain in the right hypochondrium for 2 months following open cholecystectomy. As she did not improve with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was done, which showed a possible gauze piece stained with bile in the first part of the duodenum. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an abnormal fistulous communication of the first part of duodenum with proximal transverse colon, with a hypodense, mottled lesion within the lumen of the proximal transverse colon plugging the fistula, suggestive of a gossypiboma. Excision of the coloduodenal fistula, primary duodenal repair, and feeding jejunostomy was done. The patient recovered well and is now tolerating normal diet. Coloduodenal fistula is usually caused by Crohn's disease, malignancy, right-sided diverticulitis, and gall stone disease. Isolated coloduodenal fistula due to gossypiboma has not been reported in the literature so far to the best of our knowledge. We report this case of coloduodenal fistula secondary to gossypiboma for its rarity and diagnostic challenge.
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15
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de Paula MCF, Escuissato DL, Belém LC, Zanetti G, Souza AS, Hochhegger B, Nobre LF, Marchiori E. Focal pleural tumorlike conditions: nodules and masses beyond mesotheliomas and metastasis. Respir Med 2015; 109:1235-43. [PMID: 26094051 DOI: 10.1016/j.rmed.2015.06.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Revised: 05/07/2015] [Accepted: 06/08/2015] [Indexed: 12/11/2022]
Abstract
A tumorlike condition of the pleura is any nonmalignant lesion of the pleura or within the pleural space that could be confused with a pleural tumor on initial imaging. Tumorlike conditions of the pleura are relatively rare compared with neoplastic lesions such as mesotheliomas and metastases. Imaging-based diagnosis of these conditions can be difficult due to the similarity of appearance. Thus, recognition of certain imaging patterns and interpretation of these patterns in the clinical context are important. Pleural endometriosis, thoracic splenosis, thoracolithiasis, foreign bodies, pleural pseudotumors and pleural plaques are significant examples of focal tumorlike conditions discussed in this article. Computed tomography is the mainstay imaging technique for the primary assessment of pleural disease, but other imaging methods, such as magnetic resonance imaging and positron-emission tomography, can be of great support in the diagnosis.
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Affiliation(s)
| | | | | | - Gláucia Zanetti
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
| | | | - Bruno Hochhegger
- Santa Casa de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
| | | | - Edson Marchiori
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
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16
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Williams M. Transduodenal migration of a retained surgical swab causing small bowel obstruction--imaging findings in the acute setting and prior to onset of symptoms. J Radiol Case Rep 2015; 9:43-8. [PMID: 25926920 DOI: 10.3941/jrcr.v9i1.1370] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Transmural migration of a retained surgical sponge causing small bowel obstruction is a rare occurrence. We report a case which demonstrates both the associated foreign body reaction seen on computed tomography months in advance of the onset of symptoms and confirms the subsequent fistulous decompression into the duodenum on both computed tomography and barium meal studies. To the best of the author's knowledge, a retained surgical swab causing small bowel obstruction has not been previously described with imaging both pre and post transluminal decompression.
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Affiliation(s)
- Marc Williams
- Department of Radiology, Craigavon Area Hospital, UK
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17
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Retained intra-abdominal surgical clamp complicating emergency laparotomy: incidental finding on hysterosalpingogram for evaluation of tubal infertility. Case Rep Obstet Gynecol 2014; 2014:963454. [PMID: 25436162 PMCID: PMC4241741 DOI: 10.1155/2014/963454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Accepted: 09/15/2014] [Indexed: 11/17/2022] Open
Abstract
The finding of intraperitoneal foreign body complicating surgical intervention broadly remains as an issue of safety in the operative room, a source of emotive concern for the patient, and an upsetting but equally embarrassing situation to the surgeon and the team. However, in the media world, it is a source of sumptuous and captivating headline on the newspaper and to the legal profession, an attractive case to prosecute. A middle age teacher presented with secondary infertility. She had emergency laparotomy fifteen years ago for ruptured tubal ectopic pregnancy in a private hospital and postoperative period was uneventful. Amongst other investigations to find out the cause of infertility, she had hysterosalpingography and a radio-opaque clamp was visualized on the films. She was counselled and had laparotomy. A pair of surgical Kocher clamps was retrieved buried in the mesentery.
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18
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Polat AV, Belet U, Aydin R, Akan H. Sonographic appearance of a retained surgical sponge after thyroidectomy: report of three cases. JOURNAL OF CLINICAL ULTRASOUND : JCU 2013; 41 Suppl 1:46-49. [PMID: 23280410 DOI: 10.1002/jcu.22033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2012] [Accepted: 11/30/2012] [Indexed: 06/01/2023]
Abstract
Although a number of cases of retained surgical sponge (RSS) after thoracic and abdominal surgery have been reported in the literature, the occurrence of RSS after thyroidectomy is very rare. We report the imaging findings of three cases of RSS after thyroidectomy. Sonography of the three patients revealed a hyperechoic mass with marked acoustic shadow. Computed tomography showed a well-defined, circumscribed heterogeneous mass that had gas bubbles inside in two patients, whereas the mass in the third patient was hyperdense and homogenous with smooth margins. All three RSSs were surgically removed.
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Affiliation(s)
- Ahmet Veysel Polat
- Department of Radiology, University of Ondokuz Mayis, Faculty of Medicine, Samsun, Turkey
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19
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Is there an advantage of three dimensional computed tomography scanning over plain abdominal radiograph in the detection of retained needles in the abdomen? Int J Surg 2013; 11:278-81. [PMID: 23376172 DOI: 10.1016/j.ijsu.2013.01.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2013] [Accepted: 01/17/2013] [Indexed: 11/21/2022]
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Abstract
Gossypiboma or a retained surgical sponge is a rare but avoidable surgical complication. It leads to considerable morbidity and at times even mortality. We report a case of a 24-year-old lady who presented one month after a Caesarean operation with complaints of fever, pain in abdomen, and vomiting. After the clinical examination a possibility of a retained surgical sponge was entertained. However a CT scan of abdomen revealed the complete diagnosis and helped in treating the patient surgically with a successful outcome. A review of the literature and all the relevant issues in the management of such a case have been discussed.
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Affiliation(s)
- Abdul Haque M. Quraishi
- Department of Surgery, Government Medical College, 22, Vijaynagar, Chhaoni, Nagpur 440013, India
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21
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Biswas RS, Ganguly S, Saha ML, Saha S, Mukherjee S, Ayaz A. Gossypiboma and surgeon- current medicolegal aspect - a review. Indian J Surg 2012; 74:318-22. [PMID: 23904722 PMCID: PMC3444596 DOI: 10.1007/s12262-012-0446-3] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2011] [Accepted: 03/05/2012] [Indexed: 10/28/2022] Open
Abstract
Gossypiboma or textiloma is referred to as a surgical gauze or towel inadvertently retained inside the body following surgery. It is an infrequent but avoidable surgical complication, which must be kept in mind in any postoperative patient who presents with pain, infection, or palpable mass. Gossypiboma, in the doctrine of res ipsa loquitur, proves that the surgeon is negligent. Moreover, it has medicolegal consequences including mental agony, humiliation, huge monetary compensation and imprisonment on the part of the surgeon and increased morbidity, mortality and financial loss on the part of the patient. Here we report two cases of gossypiboma and review its current medicolegal aspect in relation to the surgeon.
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Affiliation(s)
- Rabi Sankar Biswas
- Institute of Post Graduate Medical Education and Research, Green View, 128 Diamond Harbour Road, Barisha Barabari, Kolkata, 700008 India
| | - Suvro Ganguly
- Institute of Post Graduate Medical Education and Research, A-6, Entally Government Housing Estate, Dr Sundari Mohan Avenue, Kolkata, 700014 India
| | - Makhan Lal Saha
- Institute of Post Graduate Medical Education and Research, 20/C/4, DPP Road, Kolkata, 700047 India
| | - Subhasis Saha
- Institute of Post Graduate Medical Education and Research, 11/1, Madhu Sudan Banerjee Road, Kolkata, 700083 India
| | - Subhabrata Mukherjee
- Institute of Post Graduate Medical Education and Research, Saradapally, P∙O- Pandua, District- Hooghly, 712149 India
| | - Asif Ayaz
- Institute of Post Graduate Medical Education and Research, 10/1B, Topsia 2nd Lane, Kolkata, 700039 India
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Cheon JW, Kim EY, Kim KY, Park JB, Shin YK, Kim KY, Chae HD. A case of gossypiboma masquerading as a gastrointestinal stromal tumor. Clin Endosc 2012; 44:51-4. [PMID: 22741113 PMCID: PMC3363045 DOI: 10.5946/ce.2011.44.1.51] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2011] [Revised: 08/25/2011] [Accepted: 08/31/2011] [Indexed: 11/14/2022] Open
Abstract
Gossypiboma refers to a mass resulting from a retained gauze pad accidentally left within the body after surgery. Although the clinical features are diverse, it is often found incidentally as a mass having an internal cystic change and adhesion to adjacent organs. Abdominal computed tomography (CT) is helpful, yet the initial diagnosis can be misleading in cases with atypical findings. We report a case of gossypiboma in a 78-year-old woman that we suspected was a gastrointestinal stromal tumor according to abdominal CT and endoscopic ultrasound, yet was diagnosed as a gossypiboma postoperatively.
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Affiliation(s)
- Jong Woon Cheon
- Department of Internal Medicine, Catholic University of Daegu College of Medicine, Daegu, Korea
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23
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Yeh CC, Kuo YL, Liu HS, Hsi SC, Kao CC, Chu TW. Gossypiboma mimicking an ovarian tumor in a young woman with a history of ovarian teratoma. Taiwan J Obstet Gynecol 2010; 49:225-7. [PMID: 20708537 DOI: 10.1016/s1028-4559(10)60050-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2009] [Indexed: 12/26/2022] Open
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Left behind: unintentionally retained surgically placed foreign bodies and how to reduce their incidence--pictorial review. AJR Am J Roentgenol 2010; 193:S79-89. [PMID: 19933680 DOI: 10.2214/ajr.09.7153] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Unintentionally retained surgically placed foreign bodies have been associated with increased morbidity and mortality, as well as increased costs and medicolegal consequences. This article reviews some of the most commonly retained surgical devices and provides a structured approach to intraoperative image acquisition and interpretation. By increasing the awareness of surgically placed foreign bodies, our goal is to reduce the incidence of and the complications associated with this difficult clinical problem. CONCLUSION Despite various systems and safeguards available, unintentionally retained surgically placed foreign bodies remain difficult to eliminate completely. Developing a standardized approach to the request, "intraoperative film, rule out foreign body," is essential to reduce the adverse outcomes associated with this problem.
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Abstract
OBJECTIVE Textiloma and gossypiboma are terms used to describe a mass of cotton matrix that is left behind in a body cavity during an operation. This is an uncommon surgical complication. Gossypibomas are most frequently discovered in the abdomen. Such foreign bodies can often mimic tumors or abscesses clinically or radiologically; however, they are rarely reported because of the medicolegal implications. The manifestations and complications of gossypibomas are so variable that diagnosis is difficult and patient morbidity is significant. CONCLUSION This article discusses the clinical manifestations, pathophysiologic aspects, and most important complications related to gossypibomas; presents the classic imaging features of gossypibomas using a multitechnique approach; and shows some of the typical and atypical sites of gossypibomas.
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Abstract
We report a case of retained surgical sponge in the breast with its sonographic and magnetic resonance (MR) imaging findings. Striped and spotted low signal intensity structures seen within the lesion on T2 weighted MR imaging was characteristic. Sonographic examination also was helpful with the appearance of strong posterior acoustic shadowing at the lesion. It is extremely rare, to see a gossypiboma in the breast. A high degree of suspicion and imaging findings are very important for the diagnosis.
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Affiliation(s)
- Sibel Kul
- Department of Radiology, Karadeniz Technical University, Trabzon, Turkey
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Horvat JV, Machado RC, Vandesteen L, Moll RS, Oliveira GA. Intussusception following transmural migration and defecation of a surgical sponge. Clin Radiol 2009; 64:1231-4. [PMID: 19913134 DOI: 10.1016/j.crad.2009.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2009] [Revised: 08/05/2009] [Accepted: 08/06/2009] [Indexed: 10/20/2022]
Affiliation(s)
- J V Horvat
- Federal University of Espirito Santo, Vitoria, Brazil.
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Gadhinglajkar SV, Sreedhar R, Jacob D, Jayakumar K, Adil S, Nagi GS, Skubas NJ, Chaney MA. Case 1--2009. Retrocardiac sponge-induced hemodynamic instability after cardiac surgery. J Cardiothorac Vasc Anesth 2009; 23:102-9. [PMID: 19159842 DOI: 10.1053/j.jvca.2008.11.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Indexed: 11/11/2022]
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Sarrabayrouse M, Mayer HF, Loustau HD. Gauzoma mimicking siliconoma after breast augmentation surgery. Aesthetic Plast Surg 2008; 32:692-4. [PMID: 18493819 DOI: 10.1007/s00266-008-9174-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2008] [Accepted: 04/21/2008] [Indexed: 11/30/2022]
Abstract
Gauzoma is a rare iatrogenic mass caused by the retention of gauze fibers during surgery. This intraoperative complication represents a diagnostic problem for radiologists besides being a medicolegal problem for surgeons. We present a patient in whom a retained surgical sponge after breast augmentation surgery mimicked a siliconoma and discuss imaging appearance and differential diagnosis.
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Affiliation(s)
- Manuel Sarrabayrouse
- Department of Plastic Surgery, Hospital Italiano de Buenos Aires, University of Buenos Aires, School of Medicine, Gascon 450, Buenos Aires, 1181, Argentina.
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Gümüştaş OG, Gümüştaş A, Yalçin R, Savci G, Soylu RA. Unusual causes of small bowel obstruction and contemporary diagnostic algorithm. J Med Imaging Radiat Oncol 2008; 52:208-15. [PMID: 18477114 DOI: 10.1111/j.1440-1673.2008.01949.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Intestinal obstruction is a common clinical abnormality. In 60-80% of cases, the small bowel is affected. Although postoperative adhesions are responsible in 60% of cases, the other frequently observed causes are hernia, strangulation and tumours, such as carcinoid, lymphoma or adenocarcinoma. In this pictorial essay, we presented the radiological findings of uncommon causes of small bowel obstruction as well as the suggested diagnostic algorithm.
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Affiliation(s)
- O G Gümüştaş
- Burtom-Emar Radiodiagnostic Center, Osmangazi, Turkey.
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32
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Accuracy of Plain Abdominal Radiographs in the Detection of Retained Surgical Needles in the Peritoneal Cavity. Ann Surg 2008; 247:8-12. [DOI: 10.1097/sla.0b013e31812eeca5] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
Gossypiboma is composed of non-absorbable surgical material with a cotton matrix. Gossypiboma is usually under-reported and is a severe medicolegal issue. Thus, we describe the computed tomography (CT) findings of gossypiboma in our institution. From January 2003 to June 2006, gossypibomas diagnosed in our institution and their data regarding sex, age, previous operation, location, the interval between the operation and the diagnosis of gossypiboma, clinical presentation, indication of CT, CT findings and further management were collected. There were 6 cases of gossypiboma, 4 men and 2 women. Three of our cases had previous chest surgery and the other 3 cases had previous abdominal surgery. The locations of 3 (50%) cases were in the left anterior subphrenic space. The mean interval between original operation and diagnosis was 24.6 +/- 33.4 months (range, 17 days to 8 years). With regard to CT findings, 3 (50%) cases had an isodense mass and 3 (50%) had a typical mass containing curvilinear opaque structures. The mean size of the gossypibomas was 62 x 62 x 67 mm. Because gossypiboma is due solely to human factors and is a severe medicolegal issue, continuous education should be considered.
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Affiliation(s)
- Tzu-Chieh Cheng
- Department of Radiology, Cathay General Hospital, Taipei, Taiwan, R O C
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34
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Aydogan M, Mirzanli C, Ganiyusufoglu K, Tezer M, Ozturk I. A 13-year-old textiloma (gossypiboma) after discectomy for lumbar disc herniation: a case report and review of the literature. Spine J 2007; 7:618-21. [PMID: 17905325 DOI: 10.1016/j.spinee.2006.08.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2006] [Revised: 06/02/2006] [Accepted: 08/23/2006] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT A paraspinal retained surgical sponge (textiloma) is rare and mostly asymptomatic in chronic cases but can be confused with other soft-tissue masses. Therefore, it is important to be aware of patients with a paraspinal soft-tissue mass with unusual or atypical symptoms. PURPOSE A patient with asymptomatic chronic paraspinal textiloma who was operated on 13 years ago for lumbar disc herniation is presented. STUDY DESIGN Case report. METHODS A patient presented with complaints of back pain radiating to leg and neurogenic claudication. Computed tomography imaging revealed canal stenosis at L3-L5 levels and a soft-tissue mass at the paraspinal muscles of the L5-S1 level. RESULTS Surgical treatment was performed for both to excise or obtain biopsy from the soft-tissue mass and to treat spinal stenosis. During the operation, a retained surgical sponge was found and excised completely with fibrous capsule surrounding it and decompression and posterior spinal instrumentation performed without fusion for spinal stenosis with dynamic pedicle screws (Cosmic Pedicle Screw System; Ulrich AG, Germany). Recovery was uneventful, and the patient's stenosis symptoms were resolved soon after surgery. CONCLUSION Retained surgical sponges do not show mostly any specific clinical and radiological signs. They should be included in differential diagnoses of soft-tissue masses at the paraspinal region with a history of a previous spinal operation.
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Affiliation(s)
- Mehmet Aydogan
- Florence Nightingale Hospital, Abide-i Hurriety cd. No: 290 Sisli, Istanbul 34360, Turkey.
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Wieder HA, Feussner H, Rummeny EJ, Gaa J. [Radiological diagnostics for iatrogenic retained foreign bodies after surgery]. Chirurg 2007; 78:22-7. [PMID: 17151841 DOI: 10.1007/s00104-006-1279-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Retention of surgical sponges is rare. They cause either an aseptic reaction without significant symptoms or an exudative reaction which results in early but non-specific symptoms. Even if there are no studies which compare the diagnostic accuracy of the different imaging modalities, CT seems to be the most promising tool to diagnose foreign bodies. However, apart from radio-paque markers there are no specific signs for the existence of surgical sponges in CT. Therefore, an experienced radiologist is needed to differentiate foreign bodies from morphologically quite similar differential diagnoses such as abscess and haematoma.
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Affiliation(s)
- H A Wieder
- Institut für Röntgendiagnostik, Klinikum Rechts der Isar, Technische Universität, Ismaningerstrasse 22, 81675 Munich, Germany.
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36
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Nakajo M, Jinnouchi S, Tateno R, Nakajo M. 18F-FDG PET/CT findings of a right subphrenic foreign-body granuioma. Ann Nucl Med 2006; 20:553-6. [PMID: 17134023 DOI: 10.1007/bf03026820] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We report a case of an 85-year-old woman with a foreign-body granuloma which accumulated 18F-fluorodeoxyglucose (FDG). Unenhanced computed tomography showed a hyperdense mass with a hypodense rim in the right subphrenic space. FDG PET/CT images showed intense FDG uptake in the hypodense rim and little FDG uptake in the center of the mass, showing a ring-shaped appearance. The fusion imaging of FDG PET/CT represented the metabolic features of the foreign-body granuloma. When a ring-shaped FDG uptake is noted in the abdomen of a patient with a history of abdominal surgery, a foreign-body granuloma should be included in the differential diagnosis.
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37
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Lu YY, Cheung YC, Ko SF, Ng SH. Calcified reticulate rind sign: A characteristic feature of gossypiboma on computed tomography. World J Gastroenterol 2005; 11:4927-9. [PMID: 16097075 PMCID: PMC4398753 DOI: 10.3748/wjg.v11.i31.4927] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
We herein report a gossypiboma resulting from a retained surgical swab, which had been left in peritoneum for 20 years after appendectomy. CT revealed a cystic mass with a calcified reticulate rind. Subsequent surgery and pathological examination showed a gossypiboma. A simple experiment, using a barium-soaked surgical swab demonstrating similar CT appearance, supported our postulation that calcium deposition on the reticulated fibers of a surgical swab could generate such a characteristic “calcified reticulate rind” sign. We believe that identification of this CT sign facilitates the diagnosis of gossypibomas.
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Affiliation(s)
- Yi-Ying Lu
- Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, 5-Fu-Shing Street, Kwei Shan, TaoYuan, Taiwan, China
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38
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Abstract
OBJECTIVE Retained surgical sponges are seldom reported due to medicolegal implications. Awareness of this problem among surgeons and radiologists is essential to avoid unnecessary morbidity. We present our experience with this entity and review the related literature. METHODS The medical records of 11 patients who were diagnosed as having retained surgical sponges from 1990 to 2003 were reviewed. RESULTS The incidence was 1:5,027 inpatient operations. There were four males and seven females with a median age of 45 years. The original operations were gynaecological (n=4), general (n=4), urological (n=2) and laminectomy (n=1). In seven cases, the original operation was performed on an emergency basis. Five patients were obese. A presumed correct sponge count was documented in eight cases. The median time between the original procedure and diagnosis of retained sponges was 12 months. The tentative diagnosis was intestinal obstruction (4 patients), urinary tract infection (1 patient), Crohn's disease (1 patient) and tumour recurrence (1 patient). The correct diagnosis was suggested in the remaining four patients. Surgical removal of the retained sponges was carried out in all cases except one, in which the patient passed the sponge spontaneously through the rectum. CONCLUSION Retained sponges are more common in obese patients and after emergency surgery. A high degree of suspicion is important for preoperative diagnosis. Despite the use of radio-opaque sponges and thorough sponge counting, this moribund mishap still occurs. Although human errors cannot be completely abolished, continuous medical training and strict adherence to regulations should reduce the incidence to a minimum.
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Affiliation(s)
- Kamal E Bani-Hani
- Department of Surgery, Faculty of Medicine, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan.
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39
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Shyung LR, Chang WH, Lin SC, Shih SC, Kao CR, Chou SY. Report of gossypiboma from the standpoint in medicine and law. World J Gastroenterol 2005; 11:1248-9. [PMID: 15754416 PMCID: PMC4250725 DOI: 10.3748/wjg.v11.i8.1248] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
We report on a case of gossypiboma. A 78-year-old man was admitted to our hospital with acute abdomen. He had undergone an operation for colon cancer 4 mo previously. Abdominal ultrasonography revealed an echogenic lesion with a hypoechoic rim and strong posterior acoustic shadowing in the lower abdomen. Diagnosis of gossypiboma can be made by ultrasonography to avoid loss-of-chance of survival. We reviewed the English literature briefly of gossypiboma from the medical and juridical view. According to the theory of loss-of-chance, the damage of plaintiff is the loss of the chance of survival or recovery, rather than the final harm. The victim would allow recovery for the loss of the chance from the defendant. But the plaintiff would show by a preponderance that he was deprived of a betterchance of a cure. Under the proposed rule, the compensable value of the victim would be the plaintiff’s compensation for the loss of the victim’s chance of survival.
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Affiliation(s)
- Li-Rung Shyung
- Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan North Road, Taipei 104, Taiwan, China
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40
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Sandrasegaran K, Lall C, Rajesh A, Maglinte DT. Distinguishing Gelatin Bioabsorbable Sponge and Postoperative Abdominal Abscess on CT. AJR Am J Roentgenol 2005; 184:475-80. [PMID: 15671366 DOI: 10.2214/ajr.184.2.01840475] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The objective of our study was to differentiate the CT findings of gelatin bioabsorbable sponges used as hemostatic agents from postoperative abdominal abscess. CONCLUSION Gelatin absorbable sponge may mimic a postoperative abscess on CT. Findings that may help differentiate the hemostatic agent from abscess include linear arrangement of tightly packed gas bubbles, fixed position of gas bubbles on subsequent examinations, shape, lack of air-fluid level, and lack of enhancing wall.
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Affiliation(s)
- Kumaresan Sandrasegaran
- Department of Radiology, Indiana University School of Medicine, 550 N University Blvd., Indianapolis, IN 46202, USA.
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41
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Karahasanoglu T, Unal E, Memisoglu K, Sahinler I, Atkovar G. Laparoscopic removal of a retained surgical instrument. J Laparoendosc Adv Surg Tech A 2004; 14:241-3. [PMID: 15345165 DOI: 10.1089/lap.2004.14.241] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
We report the case of a patient who underwent laparoscopic removal of a retained surgical spatula two months after a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometrial carcinoma. The foreign body was detected on a routine radiograph while the patient was been prepared for radiotherapy. Laparoscopy allowed us to explore the entire abdominal cavity for any potential complications of the retained instrument, and the procedure was completed successfully. This case demonstrates the feasibility of using a minimally invasive technique in the removal of a retained foreign body.
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Affiliation(s)
- Tayfun Karahasanoglu
- Department of Surgery, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
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42
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Yeung KW, Chang MS, Huang JF. Imaging of Transmural Migration of A Retained Surgical Sponge: A Case Report. Kaohsiung J Med Sci 2004; 20:567-71. [PMID: 15620122 DOI: 10.1016/s1607-551x(09)70260-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
A 61-year-old woman who had undergone a hysterectomy 15 years before this presentation had suffered from intermittent abdominal pain and a palpable lower abdominal mass for 3 months. Plain roentgenography revealed a radiopaque mass with serpiginous density in the pelvic region. Sonography showed curvilinear hyperechogenicity with an acoustic shadow. A small-bowel series revealed a huge amorphous filling defect inside the ileum. Computed tomography showed that the mass was a spongiform object with a whirl-like appearance mixed with air and with peripheral calcification.
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Affiliation(s)
- Kwok-Wan Yeung
- Department of Radiology, Foo-Yin University Hospital, Tung Kang, Ping Tung, Taiwan.
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43
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Chang YS, Ho CL, Tseng SH. Socket Infection Due to Retained Gauze After Evisceration. Ophthalmic Surg Lasers Imaging Retina 2004. [DOI: 10.3928/1542-8877-20041101-12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Abstract
Retained foreign bodies in the abdomen and pelvis are an uncommon occurrence after surgical operations but have serious medicolegal implications. The radiologist plays an important role in suggesting the diagnosis of a retained foreign body. This article reviews the use of three-dimensional CT as a problem-solving tool in the identification, localization, and presurgical planning of retained surgical foreign bodies.
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Affiliation(s)
- Charles Ariz
- Department of Radiology, Johns Hopkins Hospital, 601 North Caroline Street, JHOC 3253, Baltimore, MD 21287-0801, USA
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45
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Cruz RJ, Poli de Figueiredo LF, Guerra L. Intracolonic Obstruction Induced by a Retained Surgical Sponge after Trauma Laparotomy. ACTA ACUST UNITED AC 2003; 55:989-91. [PMID: 14608181 DOI: 10.1097/01.ta.0000027128.99334.e7] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Ruy J Cruz
- Emergency Department, University of Santo Amaro Medical School, São Paulo, Brazil.
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46
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Hinrichs C, Methratta S, Ybasco AC. Gossypiboma treated by colonoscopy. Pediatr Radiol 2003; 33:261-2. [PMID: 12709757 DOI: 10.1007/s00247-003-0869-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2002] [Accepted: 12/12/2002] [Indexed: 10/25/2022]
Abstract
Gossypibomas are an unusual postoperative complication and are reluctantly reported in the literature. In the past, the patient would require a laparotomy. More recently, they have been treated laparoscopically and percutaneously by interventional radiology. This is the first case report of a gossypiboma treated with colonoscopy. This may represent an addition treatment option for this complication.
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Affiliation(s)
- Clay Hinrichs
- Department of Radiology, University of Medicine and Dentistry of New Jersey, University Hospital, 150 Bergen Street, C320, Newark, NJ 07103-2406, USA.
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47
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El Khoury M, Mignon F, Tardivon A, Mesurolle B, Rochard F, Mathieu MC. Retained surgical sponge or gossypiboma of the breast. Eur J Radiol 2002; 42:58-61. [PMID: 12039021 DOI: 10.1016/s0720-048x(01)00478-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- M El Khoury
- Department of Radiology, Institut Gustave-Roussy, 39 rue Camille Desmoulins, 94805, Villejuif, France
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48
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Merlo M, Lamb CR. Radiographic and ultrasonographic features of retained surgical sponge in eight dogs. Vet Radiol Ultrasound 2000; 41:279-83. [PMID: 10850880 DOI: 10.1111/j.1740-8261.2000.tb01491.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The radiographic and ultrasonographic signs in eight dogs with a surgical or pathologic diagnosis of retained surgical sponge were reviewed. The most frequent previous surgery was ovariohysterectomy, either as an elective procedure or to treat pyometra. The median elapsed time between surgery and diagnosis of retained surgical sponge was 9.5 months (range 4 days to 38 months). Five dogs had a draining sinus; four had a palpable abdominal mass. Radiologic signs included localized, speckled or whirl-like gas lucency, abdominal mass, and non-focal soft tissue swelling. Survey radiography and sinography were considered diagnostic for retained surgical sponge in 4/7 (57%) and 3/5 (60%) dogs, respectively. The combined use of survey radiography and sinography enabled detection of 6/7 (86%) sponges. In each dog that had ultrasonography, a hypoechoic mass was found that had an irregular hyperechoic centre. The possibility of retained surgical sponge should be considered in animals with a history of previous surgery and a sinus or abdominal mass.
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Affiliation(s)
- M Merlo
- Department of Small Animal Medicine and Surgery, Royal Veterinary College, University of London, Hertfordshire, UK
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49
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Abstract
A retained surgical swab (gossypiboma) is a rare but important complication of intrathoracic surgery. The radiographic and computed tomography (CT) appearances are variable and depend on the chronicity and site of the swab within the chest. Two cases of retained swabs within the chest are reported. In both cases, the swab had become surrounded by lung. The swab within the pleural space acted as a nidus and resulted in infolding of the lung, superficially resembling an intrapulmonary abscess on CT.
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Affiliation(s)
- R E Sheehan
- Department of Radiology, Royal Brompton Hospital, London, England
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50
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Affiliation(s)
- D J Cowin
- Department of Orthopedic Surgery and Rehabilitation, University of Florida, Gainesville, USA
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