A transmural migration of a gossypiboma in the right colon responsible for a mass which mimicked an abscessed colonic tumor: A case report

Kassi, Assamoi Brou Fulgence; Yénon, K S; Koffi, Eric

doi:10.1016/j.ijscr.2018.08.046

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…In case of migration into the intestinal lumen, the loop closes after a complete migration of the compress and peristaltic activity moves it to the terminal ileum where it stagnates, often resulting in intestinal obstruction [Faraj, 2013]. In our observation, intraluminal migration is identical to a few very rare cases described in the literature [Margonis,2016;Gawande, 2003;Kassi, 2018;Kierman, 2008;Lv, 2014]. The foreign body seems to mold itself to the intestinal lumen but without obstructing it, intermittently causing abdominal pain, which is one of the reasons for repeated consultations in our two patients.…”

Section: Discussionsupporting

confidence: 77%

“…Gossypiboma is a term derived from "gossypium" (cotton in Latin) and "boma" (hiding place in Swahili) [Kassi, 2018]. As surgery progressed, the use of synthetic materials took precedence over the use of cotton, which was once used to ensure hemostasis, hence the term textilome (derived from textiles and the suffix "ome" which means growth) [Nassar, 2004].…”

Section: Discussionmentioning

confidence: 99%

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A Case Series of Intraluminal Migration Gossypiboma in Regional Hospital of Maradi

Adakal

Mohamed

Abdoulaye

et al. 2019

ESJ

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Introduction: Textiloma or Gossypiboma is used to describe a foreign body composed of a compress (s) or surgical field (s) forgotten at an operating site. Case report: Authors reported two cases of intestinal migrant textiloma in patients all previously operated on by cesarean section. The two patients consulted for a chronic painful abdominal mass. Abdominal ultrasound showed a superficial anterior structure in favor of foreign body in the first patient. The second one concluded that there was a right ovarian cyst. The surgery discovered a greek mass in both cases. Resection of the intestinal mass was performed followed by end to end anastomosis. The enterostomy of hail mass revealed an abdominal compress in each case. Conclusion: Forgetting a compress or abdominal field during surgery is a tragedy for the surgeon not only because of its forensic aspect but also because of the suffering endured by the patient. Indeed, actions trying to prevent this type of error are implemented in most developed countries; it is time for each hospital to adopt preventive measures, even if just only the compresses counting during the procedure.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

A Case Series of Intraluminal Migration Gossypiboma in Regional Hospital of Maradi

Adakal

Mohamed

Abdoulaye

et al. 2019

ESJ

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“…Intraabdominal gossypibomas are usually reported with signs of an intraabdominal mass, bowel obstruction, intestinal hemorrhage, or fistulation. Rarely, the retained surgical sponge undergoes transmural bowel wall migration without leaving a defect [ 1 , 2 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma with perforation of the umbilicus mimicking a complicated urachal cyst: a case report

et al. 2020

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Background A retained surgical sponge, also known as a gossypiboma, is a rare cause of serious postoperative complications. Diverse retained surgical materials including instruments such as clamps and sutures have been reported, but surgical sponges are the most common material. We report an unusual case of a gossypiboma mimicking a complicated urachal cyst that led to perforation of the umbilicus. Case presentation A 38-year-old female patient presented in our facility with a palpable periumbilical mass and discharge of pus from the umbilicus for 7 months after an open appendectomy. Since the onset of symptoms, the patient had been treated conservatively in a peripheral hospital where she had been operated on. As no improvement was seen, an ultrasound scan was performed that suggested an intraperitoneal abscess adjacent to the umbilicus. Consequently, the patient was referred to our specialist outpatient department for surgical intervention. Suspecting a complicated urachal cyst, an exploratory laparotomy was performed but revealed a retained surgical sponge as the underlying cause. The gossypiboma was resected, and the postoperative period was unremarkable. Conclusion This case demonstrates that gossypibomas, even though rare, continue to occur. They may clinically and radiologically mimic other pathologies, especially abscesses and tumors. Preventive measures as well as the inclusion of gossypibomas in the differential diagnosis of intraabdominal masses or fistulation detected in patients with a history of surgery are of utmost importance to minimize morbidity, mortality, and potential medicolegal implications.

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“…With low antigenicity, a mild inflammatory response occurs developing an aseptic fibrinous response, causing encapsulation of the material, adhesion formation, and calcifications. The exudative with high antigenicity develops a rapid, severe inflammation, leading to abscess formation and or fistula and even migration into the intestinal tract 19 ; once inside the lumen, its migration is favored by peristalsis; subsequently, the sponge could be eliminated with feces or cause obstruction of the intestinal lumen 7,20,21 . Notably, image studies play a crucial role in diagnosis, there are two scenarios, on the first one, it presents as an incidental finding; on the other hand, there are patients with a history of a surgical procedure and who afterward develops suggestive symptoms; consequently, the attendant requests an image study to confirm his diagnosis 7,10 .…”

Section: Discussionmentioning

confidence: 99%

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

Vidrio-Duarte

Correa-Dip

Vidrio-Duarte³

et al. 2020

HGMX

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We report the case of a 30-year-old female being studied for a colonic tumor, on the computed tomography-scan an abdominal mass with wall reinforcement and air bubbles suggestive of a retained sponge, Barium enema showed an extraluminal radiopaque marker and a mass migrated into the colon, on surgery, an enterocolic fistula was found, and we resected the ascending colon and 40 cm of terminal ileum and performed a ileotranverse anastomosis. Gossypibomas, despite preventive measures, remain a concern for surgeons due to its medicolegal implications, a high clinical suspicion leads to a correct diagnostic protocol and an early treatment.

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A transmural migration of a gossypiboma in the right colon responsible for a mass which mimicked an abscessed colonic tumor: A case report

Cited by 4 publications

References 20 publications

A Case Series of Intraluminal Migration Gossypiboma in Regional Hospital of Maradi

A Case Series of Intraluminal Migration Gossypiboma in Regional Hospital of Maradi

Gossypiboma with perforation of the umbilicus mimicking a complicated urachal cyst: a case report

Transmural colonic migration of a retained surgical sponge (Gossypiboma) which clinically mimicked a colonic tumor: A case report

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