Complete migration of retained surgical sponge into ileum without sign of open intestinal wall

Abstract

A 24-year-old woman came to the emergency room with a history of diffuse abdominal pain in the form of colic, nausea, vomiting and intestinal constipation. Clinical and ultrasound findings suggested intestinal obstruction due to foreign body. She had been submitted to a cesarean section 4 months previously at another hospital. At laparotomy, a ileum loop was found to be distended by an inside large and hardened mass with another intestinal loops and omentum density adherent. An ileotomy was performed on the compromised segment with terminating anastomosis. When opened surgical specimen it was observed an intraluminal surgical sponge that had completely migrated into the interior of the ileum and stopped next to ileumcecal valve. No fistulas or open intestinal wall were observed.

Textiloma: A Case Report of Rectal Expulsion

“…After complete migration in the intestine, textiloma usually ends up in the terminal ileum, as was the case in our patient where it often leads to small bowel obstruction [9]. On the other hand, cases of spontaneous rectal expulsion of textiloma as in our patient are rarely described [1].…”

Intestinal Obstruction Due to Retained, Eroding Surgical Sponge: A Case Report

“…All preventive measures should be taken to avoid this condition [14,15] . A thorough exploration of all quadrants of the abdomen at the termination of surgical cases is mandatory [1,16] .…”

Idiopathic weight loss due to an entero-enteric fistula from a gossypiboma retained for 27 years

“…In some cases, foreign bodies migrate into the bowel lumen by eroding the bowel wall because of the pressure exerted. The most common parts of the bowel that are penetrated are the ileum and colon, although bowel penetration can occur in any part of the intestinal tract (10). Penetration and migration leads to perforation, formation of internal and external fistulas or an abscess, gastrointestinal obstruction, and bleeding (5).…”