Intra-abdominal gossypiboma

Volume: 33 Number: 2 June 20, 2011
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Intra-abdominal gossypiboma

Abstract

Abstract

A surgical sponge left in abdominal cavity following completion of the operation (Gossypiboma) is a rare entity. Surgical gauze pad will initiate a granulomatous reaction and it may appear as a large intra-abdominal mass. This condition is referred as gossypiboma. They may not only cause aseptic reactions without significant symptom, but they may also lead to exudative reaction which is manifested in the early phase with non-specific symptoms. Computerized Tomography (CT) is a very valuable method in determination of gossypiboma. Here, we aimed to present a case diagnosed as gossypiboma by CT examination in a 35-years old female who had applied to our clinic with complaints of abdominal pain, vomiting and weight loss.

Keywords: Foreign body, gossypiboma, intra-abdominal mass, intestinal fistulae

 

Özet

Operasyonda unutulmuş cerrahi spançlar (Gossipiboma) nadir görülen bir antitedir. Cerrahi gazlı bez granülamatöz bir reaksiyon başlatarak büyük bir kitle şeklinde görüntü verebilir. Buna gossipiboma denir. Bunlar belirgin semptom vermeyen aseptik reaksiyona neden olabildikleri gibi, erken dönemde nonspesifik semptomlarla kendini gösteren eksudatif reaksiyona da neden olabilirler. Bilgisayarlı Tomografi (BT) gossipibomaların tanınmasında çok değerli bir yöntemdir. Biz 35 yaşında karın ağrısı, kusma, kilo kaybı şikayeti ile başvuran kadın hastada, BT’de gossipiboma tanısı koyduğumuz hastayı sunmayı amaçladık.

Anahtar sözcükler: Yabancı cisim, gossipiboma, intraabdominal kitle, intestinal fistül

Keywords

References

  1. Kiernan F, Joyce M, Byrnes CK, O’Grady H, Keane FB, Neary P. Gossypiboma: a case report and review of the literature. Ir J Med Sci 2008; 177: 389-91.
  2. Aminian A. Gossypiboma: a case report. Cases Journal 2008; 1: 220.
  3. Grawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003; 348: 229-35.
  4. Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma). Asian J Surg 2005; 28: 109-15.
  5. Apter S, Hertz M, Rubenstein ZJ, Zissin R. Gossypiboma in the early post- operative period: a diagnostic problem. Clin Radiol 1990; 42: 128-9.
  6. Dakubo J, Clegg-Lamptey J, Hodasi W, Obaka H, Toboh H, Asempa W. An intra abdominal gossypiboma. Ghana Med J 2009: 43-5.
  7. Patil KK, Patil SK, Gorad KP, Panchal AH, Arora SS, Gautam RP Intraluminal migration of surgical sponge: gossypiboma. Saudi J Gastroenterol. 2010; 16: 221- 2.
  8. Döleş AK, Döleş FT, Güven FMK, Korkmaz I, Eren SK, Coşkun A, Gören E. Atypical abdominal pain and gossypiboma. Cumhuriyet Med J 2011;33:106-8.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Çağatay Topçu

Şeref Yılmaz

Hikmet Sarıkaya

Fatih Topal

Publication Date

June 20, 2011

Submission Date

September 25, 2010

Acceptance Date

-

Published in Issue

Year 2011 Volume: 33 Number: 2

AMA
1.Topal F, Akbulut S, Dinçer N, et al. Intra-abdominal gossypiboma. CMJ. 2011;33(2):239-242. https://izlik.org/JA24TT85HF