Intraluminal migration of gossypibioma

Krishna, Vamsi; Bharathkumar, D.

doi:10.1016/j.ijscr.2018.04.001

Cited by 6 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gossipyboma or textiloma is a rare but unfortunate surgical complication. Reports of migration of retained surgical material into bowel are scarce in human medicine and even more so in veterinary medicine 16‐19 . It has been suspected to occur as a result of inflammation of the intestinal wall that evolves to necrosis 16‐19 .…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][19] The migration site closes after complete luminal migration of the foreign body, with peristaltic activity making it progress into the gastrointestinal tract until potential obstruction occurs. [16][17][18][19] A similar mechanism might explain migration in our study. The dacron cuff, the catheter or both in proximity to the intestine could cause inflammation of the intestinal serosal wall resulting in progressive migration and eventually perforation.…”

Section: Discussionmentioning

confidence: 99%

“…Reports of migration of retained surgical material into bowel are scarce in human medicine and even more so in veterinary medicine. [16][17][18][19] It has been suspected to occur as a result of inflammation of the intestinal wall that evolves to necrosis. [16][17][18][19] The migration site closes after complete luminal migration of the foreign body, with peristaltic activity making it progress into the gastrointestinal tract until potential obstruction occurs.…”

Section: Discussionmentioning

confidence: 99%

“…4,5,[13][14][15] Transmural migration of foreign bodies is well documented in humans and most commonly occurs as a result of a forgotten surgical sponge or as a complication after surgical implants such as a hernia mesh. 16,17 The transmural migration of abdominally retained foreign bodies into the gastrointestinal tract is seldomly reported in dogs and cats. [18][19][20] Migration of the dacron cuff of the nephrostomy catheter in 2 cats with a SUB device has been reported.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Multicenter retrospective evaluation of transmural migration of subcutaneous ureteral bypass devices within the digestive tract in cats

Véran

Vachon

Byron

et al. 2022

Veterinary Internal Medicne

View full text Add to dashboard Cite

Background: Placement of a subcutaneous ureteral bypass (SUB) device is an effective method to relieve all causes of ureteral obstruction in cats. Complications involving migration within the gastrointestinal tract have been seldomly described. Objectives: To characterize transmural migration of SUB devices within the digestive tract in cats. Animals: Eleven migrated SUB catheters identified in 8 cats between 2017 and 2021. Methods: Retrospective review of medical records of cats with a SUB device in which migration into the gastrointestinal tract was identified. Results: The median time from SUB device placement to implant migration was 928 days (201-2298 days). Seven cats had obstruction of the SUB device and a positive urine culture at diagnosis. The migration was identified by ultrasound in 6/11, pre-operative contrast radiography in 2/2, and only at time of surgery in 3 SUB devices. All cats underwent surgical correction. Four nephrostomy and 7 cystotomy catheters migrated. Migration occurred into the duodenum (3/11), jejunum (7/11), and colon (1/11). SUB devices were removed in 7 cats and replaced in 2 cats, with Abbreviation: SUB, subcutaneous ureteral bypass.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Multicenter retrospective evaluation of transmural migration of subcutaneous ureteral bypass devices within the digestive tract in cats

Véran

Vachon

Byron

et al. 2022

Veterinary Internal Medicne

View full text Add to dashboard Cite

show abstract

“…Highest incidence has been seen after open cholecystectomy followed by caesarean section procedures and hysterectomy 15. The retained gossypiboma, most commonly affects the small intestines, predominantly the ileum 13…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic gossypiboma with complete intramural migration and ileoileal fistula

Singhal

Vats²,

Neogi

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

Retained gossypiboma is a rare and under-reported complication of surgery, which can present in a variety of ways. Thus, a very high index of suspicion is required by the clinician to clinch the diagnosis in a postoperative patient. A 45-year-old woman, who was otherwise asymptomatic, presented to the General Surgery outpatient department (OPD) with a contrast-enhanced CT suggestive of a retained intra-abdominal foreign body from previous surgery. An exploratory laparotomy was planned on elective basis. Intraoperatively, dense inter-bowel adhesions were found in the upper abdomen. After a meticulous adhesiolysis, an ileoileal fistula and an intraluminal surgical sponge were discovered. Resection and anastomosis of the involved ileal segment was done. An asymptomatic patient with a migrated intramural gossypiboma with an ileoileal fistula is an extremely rare occurrence. In these circumstances, it becomes almost impossible for the surgeon to clinch the diagnosis of a gossypiboma in an otherwise asymptomatic patient, without the aid of radiological investigations.

show abstract

Surgical removal of the largest transgastric migrated gossypiboma: A case report

Haji Mohamad,

Al-Jawad,

Anadani

et al. 2024

Medicine

View full text Add to dashboard Cite

Rationale: Gossypiboma is a term that refers to the condition of accidentally retained surgical gauze after surgeries. While many manifestations and complications are possible in this case, the migration of the retained gauze into the gastric cavity is one of the rarest. In this paper, we report the largest migrated surgical towel to the gastric cavity in the literature, measuring 90 cm × 90 cm. Patient concerns: A 33-year-old woman with recurrent epigastric pain unresponsive to treatment was referred to our hospital. She had undergone an open surgery cholecystectomy 11 years before admission during wartime in Syria. Diagnoses: Abdominal computed tomography with contrast showed a large mass in the stomach, indicating malignancy. However, upper gastrointestinal endoscopy revealed a gray–black foreign body occupying the entire gastric lumen, which indicated the presence of bezoar. Upon surgery, the final diagnosis of gastric gossypiboma was made; which was a retained surgical towel from the previous cholecystectomy that had fully migrated to the stomach and resembled both malignancy and bezoar upon investigation. Interventions: The patient underwent open surgery to excise the foreign body. Outcomes: The gossypiboma was successfully removed, and the patient was discharged 5 days after the operation without complications. Lessons: Retained surgical items, such as gossypiboma, can lead to significant medical complications. The migration of gossypiboma to the stomach, though rare, poses challenges in diagnosis and management, often requiring open surgical removal to prevent adverse outcomes. Early detection and intervention are crucial to avoiding associated morbidity and mortality. It is important to consider gossypiboma in patients with unexplained abdominal pain following surgery and to emphasize meticulous sponge counting to prevent this complication.

show abstract

Intraluminal migration of gossypibioma

Abstract: HighlightsThis article describes 3 cases of small bowel obstruction caused by migrating gossypibioma.This gossypibioma obstructed the terminal ileumand patients presented with obstruction symptoms.Also this series describes diagnosis, treatment and prevention protocol.

Cited by 6 publications

References 14 publications

Multicenter retrospective evaluation of transmural migration of subcutaneous ureteral bypass devices within the digestive tract in cats

Multicenter retrospective evaluation of transmural migration of subcutaneous ureteral bypass devices within the digestive tract in cats

Asymptomatic gossypiboma with complete intramural migration and ileoileal fistula

Surgical removal of the largest transgastric migrated gossypiboma: A case report

Contact Info

Product

Resources

About