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Systemic Presentation of Retained Foreign Body in the Peritoneal Cavity (Gossypiboma)
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S Mehrabi   1, S Mehrabi |
| 1- , dr.s.meh544@ gmail.com |
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Abstract: (12076 Views) |
| Introduction & Objective: One of the infrequent complications of surgical operations is retained foreign body in body cavities which lead to morbidity and mortality for patients and also medico-legal problems for surgeons. Gossypiboma is an uncommon surgical complication, which is defined as a mass or cystic lesion due to retained surgical sponge in the abdominal cavity. Retained foreign body causes abscess, fistula, mass, obstruction after surgical operations and is diagnosed by x ray evaluation. In all patients, it is presented with pain, palpable mass. The infected post operation retained foreign bodies should be considered in differential diagnosis. In this study, we reported a patient with systemic presentation of retained two foreign bodies (surgical sponge) in abdominal cavity.
Case: The patient is a 32 years old female, which after cesarean section in 2008 developed abdominal pain, anorexia, and weight loss. The patient was referred to a specialist, and para-clinical checkup was done on her. In sonography and CT-scan, two cystic lesions with calcified wall were reported in the left and right sides of the abdomen.
Then, the patient was referred to a surgeon with the diagnosis of hydatid cyst. During operation, cystic lesion with adhesion to viscera in the right side of the abdomen and a mass lesion in the descending colon in the left side were seen.The pathology report showed a surgical sponge in the right cystic lesion and surgical towel in the descending colon.
Conclusion: Retained foreign bodies should be considered in differential diagnosis of any post operative patients who are presented with pain, infection, or palpable mass. |
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| Keywords: Gossypiboma, Foreign body, Cystic lesion. |
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Full-Text [PDF 981 kb]
(1139 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2015/05/24 | Accepted: 2015/05/24 | Published: 2015/05/24
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