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2013, Number 2

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Cir Cir 2013; 81 (2)

Postoperative intra-abdominal foreign body resemblance to neoplasm. report of a case and review of the bibliography

Gil-Romea I, Valcarreres-Rivera MP, Palacios-Gasos P, Lamata-Delaorden L, Quintana-Martínez J, Moreno-Mirallas MJ

Language: Spanish
References: 24
Page: 148-152
PDF size: 1093.27 Kb.


ABSTRACT

Introduction: Gossypibomas or textilomas are materials remain in the abdomen after surgery. It is very difficult to assess its impact due to medico-legal implications, hence the interest in the publication of this type of pathology.
Clinical case: Women of 76 years who had undergone a hysterectomy more double anexectomy 6 months before admission to our hospital, apparently without perioperative complications. When she was assessed in our hospital had a clinical picture simulating a malignancy. In our case, the patient had signs and symptoms of advanced intra-abdominal malignancy, such as anemia of chronic, significant weight loss and palpable abdominal mass. The diagnostic procedure combined computed tomography and colonoscopy, aiming to cause the signs of intra-abdominal gossypiboma. The patient was operated 3 bowel resections pointing to extract the foreign body, with satisfactory postoperative and remaining asymptomatic till date.
Conclusion: Intra-abdominal gossypibomas are exceptional, although the diagnosis is made through imaging and, if suspected GI neoplasm, endoscopic studies. The primary differential diagnosis must be made with intra-abdominal malignancies.


REFERENCES

  1. Ortíz-Mendoza CM. Textiloma inguinal después de safenectomía simulador de neoplasia. Cir Cir 2010;78(3):269-271.

  2. Gómez-Hernández MM, Morales-Wong MM, González-Ortega JM, Escaig-Olivares RL, Casañola-Grillo C, Manzanares-La Guardia I, et al. Textiloma intraperitoneal. A propósito de un caso de evolución no habitual. VIII Congreso Virtual Hispanoamericano e Anatomía Patológica. Octubre 2006. Seminario de casos: Patología del aparato digestivo. Disponible en http://conganat.cs.urjc.es/index.php/conganat/article/viewFile/106/113

  3. Zantvoord Y, van der Weiden RMF, van Hooff MHA. Transmural Migration of Retained Surgical Sponges: A Systematic Review. Obstet Gynecol Surv 2008;63(7):465-471.

  4. Silva CS, Caetano MR, Silva EAW, Falco L, Murta EFC. Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Arch Gynecol Obstet 2001;265(2):103-104.

  5. Erdil A, Kilciler G, Ates Y, Tuzun A, Gulsen M, Karaeren N, et al. Transgastric Migration of Retained Intraabdominal Surgical Sponge: Gossypiboma in the Bulbus. Intern Med 2008;47(7):613-615.

  6. Rajagopal A, Martin J. Gossypiboma-“A Surgeon’s Legacy” Report of a Case and Review of Literature. Dis Colon Rectum 2002;45(1):119-120.

  7. Kato K, Kawai T, Suzuki K, Sai S, Murase T. Migration of surgical sponge retained at transvaginal hysterectomy into the bladder: a case report. Hinyokika Kiyo. Acta Urol Jap 1998;44(3):183-185.

  8. Mavrigiannaki PE, Dastamani C, Vouza E, Lambropoulou E, Kairi-Vassilatou E, Kondi-Pafiti A. Gossypiboma: a rare abdominal lesion of women after cesarean section, usually misdiagnosed as a neoplasm. Clin Exp Obstet Gynecol 2011;38(3):294-296.

  9. Fernandez-Lobato R, Marín-Lucas FJ, Fradejas-Lopez JM, Diaz-Gimenez LM, Camarero-Marina E, Moreno-Azcoita M. Postoperative textilomas: review of 14 cases. Int Surg 1998;83(1):63-66.

  10. Mathew JM, Rajshekhar V, Chandy MJ. MRI features of neurosurgical gossypiboma: report of two cases. Neuroradiology 1996;38(5):468- 469.

  11. Dane C, Yayla M, Dane B. A foreign body (gossypiboma) in pregnancy: first report of a case. Gynecol Surg 2006;3(2):130-131.

  12. Lin TY, Chuang CK, Wong YC, Liao HC. Gossypiboma: migration of retained surgical gauze and spontaneous transurethral protrusion. BJU Int 1999;84(7):879-880.

  13. Kalliakmanis V, Pikoulis E, Hitos A, Karavokyros IG, Gougoudi E, Leppaniemi A. A retained foreign body in the peritoneal cavity causing intestinal obstruction by intraluminal migration. Zentralbl Chir 2007;132(1):70-72.

  14. Kuo YT, Wang CK, Wu DK, Liu GC, Huang CL, Chai CY, et al. Imaging features of simultaneous occurrence of renal and pancreatic foreign body granuloma due to chronically retained gauze: a case report. Kaohsiung J Med Sci 1999;15(2):104-109.

  15. Yamamura N, Nakajima K, Takahashi T, Uemura M, Nishitani A, Souma Y, et al. Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: Report of a case. Surg Today 2008;38(6):552-554.

  16. Gencosmanoglu R, Inceoglu R. An unusual cause of small bowel obstruction: Gossypiboma-case report. BMC Surg 2003;3:1-6.

  17. Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and evaluation. J Comput Assist Tomogr 1996;20(6):919-923.

  18. Rogers A, Jones E, Oleynikov D. Radio frequency identification (RFID) applied to surgical sponges. Surg Endosc 2007;21(7):1235- 1237.

  19. Puig Domingo J, Pérez Martínez C, Palmer Sancho J, Llauger Rosselló J, De Marcos Izquierdo JA. Current radiologic diagnosis of retained surgical gauze. Rev Esp Enferm Apar Dig 1989;76(5):503- 506.

  20. Mochizuki T, Takehara Y, Ichijo K, Nishimura T, Takahashi M, Kaneko M. Case report: MR appearance of a retained surgical sponge. Clin Radiol 1992;46(1):66-67.

  21. Alis H, Soylu A, Dolay K, Kalayci M, Ciltas A. Surgical intervention may not always be required in gossypiboma with intraluminal migration. World J Gastroenterol 2007;13(48):6605-6607.

  22. Kaiser CW, Friedman S, Pfeifer Spurling K, Slowick T, Kaiser HA. The Retained Surgical Sponge. Ann Surg 1996;224(1):79-84.

  23. Akbulut S, Arikanoglu Z, Yagmur Y, Basbug M. Gossypibomas mimicking a splenic hydatid cyst and ileal tumor: a case report and literature review. J Gastrointest Surg 2011;15(11):2101-2107.

  24. Rajalingam R, Saluja SS, Sharma A, Mishra PK. Post cholecystectomy gossypiboma: a malignant masquerade. Am Surg 2011;77(5):E94-95.




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