Gossypiboma successfully removed by upper-GI endoscopy

Peyrin–Biroulet, Laurent; Oliver, Alexandre; Bigard, Marc‐André

doi:10.1016/j.gie.2007.06.002

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…Surgery is the preferred method of treatment for gossypiboma. Various techniques, including percutaneous techniques, such as laparoscopy and laparotomy, are used for the removal of gossypiboma, depending on the clinical presentation and medical equipment available [4,6,26,30,46]. In cases with migration of gossypiboma into the digestive tract, nonsurgical approaches such as endoscopic retrieval of foreign bodies have been reported.…”

Section: Discussionmentioning

confidence: 99%

Intractable duodenal ulcer caused by transmural migration of gossypiboma into the duodenum - a case report and literature review

Tung

et al. 2014

BMC Surg

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BackgroundGossypiboma is a term used to describe a mass that forms around a cotton sponge or abdominal compress accidentally left in a patient during surgery. Transmural migration of an intra-abdominal gossypiboma has been reported to occur in the digestive tract, bladder, vagina and diaphragm. Open surgery is the most common approach in the treatment of gossypiboma. However, gossypibomas can be extracted by endoscopy while migrating into the digestive tract. We report a case of intractable duodenal ulcer caused by transmural migration of gossypiboma successfully treated by duodenorrhaphy. A systemic literature review is provided and a scheme of the therapeutic approach is proposed.Case presentationA 61-year-old Han Chinese man presented with intermittent epigastric pain for the last 10 months. He had undergone laparoscopic cholecystectomy conversion to open cholecystectomy for acute gangrenous cholecystitis 10 months ago at another hospital. Transmural migration of gossypiboma into the duodenum was found. Endoscopic intervention failed to remove the entire gauze, and duodenal ulcer caused by the gauze persisted. Surgical intervention was performed and the gauze was removed successfully. The penetrated ulcer was repaired with duodenorrhaphy. The postoperative period was uneventful.We systematically reviewed the literature on transmural migration of gossypiboma into duodenum and present an overview of published cases. Our PubMed search yielded seven reports of transmural migration of retained surgical sponge into the duodenum. Surgical interventions were necessary in two patients.ConclusionTransmural migration of gossypiboma into the duodenum is a rare surgical complication. The treatment strategies include endoscopic extraction and surgical intervention. Prompt surgical intervention should be considered for emergent conditions such as active bleeding, gastrointestinal obstruction, or intra-abdominal sepsis. For non-emergent conditions, surgical intervention could be considered for intractable cases in which endoscopic extraction failed.

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Section: Discussionmentioning

confidence: 99%

Intractable duodenal ulcer caused by transmural migration of gossypiboma into the duodenum - a case report and literature review

Tung

et al. 2014

BMC Surg

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“…Abdominal gossypibomas may be asymptomatic or may present with abdominal pain, abdominal mass, intestinal obstruction, gastrointestinal hemorrhage, intraabdominal sepsis, granulomatous peritonitis, and fistulization into surrounding structures [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma: Retained Surgical Sponge after a Gynecologic Procedure

Sümer

Çarparlar

Uslukaya

et al. 2010

Case Reports in Medicine

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“…23 Endoscopy (panendoscopy and colonoscopy) is a method used in both the diagnosis and treatment of intraluminal gossypiboma cases. 15,26,29,30 A correct preoperative diagnosis is made in about onethird of cases. Depending on the form of presentation, differential diagnoses are proposed.…”

Section: Discussionmentioning

confidence: 99%

“…Various techniques are used for the removal of RSSs, depending on the clinical presentation and facilities available: percutaneous techniques, laparoscopy, and laparotomy. 7,15,26,[29][30][31] However, a few cases have been reported in the literature in which the RSS spontaneously discharged during defecation. 8,16,17,32,33 Prognosis is excellent if the RSS is removed immediately after diagnosis.…”

Section: Discussionmentioning

confidence: 99%