Retained Surgical Sponge Presenting as a Gastric Outlet Obstruction and Duodeno-ileo-colic Fistula: Report of a Case

Manikyam, S R; Gupta, Vikas; Gupta, Rajesh; Gupta, Nidhi

doi:10.1007/s005950200068

Cited by 18 publications

(18 citation statements)

References 9 publications

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“…2 Only one case of surgical sponge migrating into the colon has been reported to be evacuated by defecation. 8 Retained surgical sponges with radiopaque markers are readily made out on standard plain Xrays of the abdomen. The radiopaque markers are usually filaments impregnated with barium sulphate and may fold, twist, or disintegrate over periods of time.…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma Presenting as Coloduodenal Fistula – Report of a Rare Case With Review of Literature

Sistla

Ananthakrishnan

Karthikeyan

et al. 2014

International Surgery

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The term gossypiboma is used to describe a mass of cotton matrix left behind in a body cavity intraoperatively. The most common site reported is the abdominal cavity. It can present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37-year-old woman presented with pain in the right hypochondrium for 2 months following open cholecystectomy. As she did not improve with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was done, which showed a possible gauze piece stained with bile in the first part of the duodenum. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an abnormal fistulous communication of the first part of duodenum with proximal transverse colon, with a hypodense, mottled lesion within the lumen of the proximal transverse colon plugging the fistula, suggestive of a gossypiboma. Excision of the coloduodenal fistula, primary duodenal repair, and feeding jejunostomy was done. The patient recovered well and is now tolerating normal diet. Coloduodenal fistula is usually caused by Crohn's disease, malignancy, right-sided diverticulitis, and gall stone disease. Isolated coloduodenal fistula due to gossypiboma has not been reported in the literature so far to the best of our knowledge. We report this case of coloduodenal fistula secondary to gossypiboma for its rarity and diagnostic challenge.

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Section: Discussionmentioning

confidence: 99%

Gossypiboma Presenting as Coloduodenal Fistula – Report of a Rare Case With Review of Literature

Sistla

Ananthakrishnan

Karthikeyan

et al. 2014

International Surgery

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“…RSS may migrate transmurally into the lumen of any part of the gastro-intestinal tract including stomach [6], duodenum [7,8], jejunum [9] ileum [4,10] and colon [11,12]. It may cause an ulcer [8], perforation [11], fistula formation [3,7], gastric outlet obstruction [7] and subacute/acute intestinal obstruction [2,3,4,7] It may also remain silent/ asymptomatic after entering into the lumen and may even pass out through the rectum without causing much harm [5].…”

Section: Discussionmentioning

confidence: 99%

“…It may cause an ulcer [8], perforation [11], fistula formation [3,7], gastric outlet obstruction [7] and subacute/acute intestinal obstruction [2,3,4,7] It may also remain silent/ asymptomatic after entering into the lumen and may even pass out through the rectum without causing much harm [5].…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Caused by Retained Surgical Swab

Akmal¹,

Amini²,

Afridi³

2016

Natl. j. health sci.

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Retained surgical swab (RSS) is an infrequent and avoidable complication after any type of abdomino-pelvic surgeries which leads to increased morbidity of patient as well as the cost of treatment. We report one such case of a 32 years old female patient who presented with signs and symptoms of acute intestinal obstruction, 1 year after a cesarean section. On exploration a mass was found in the region of terminal ileum which was resected followed by end to end anastomosis. Upon dissection of the mass, a large surgical swab was found inside the lumen of the gut. The mass which is formed around a retained surgical swab is known as Gossypiboma. Complete intra-luminal migration is very rare and a delayed complication of RSS and is difficult to diagnose due to vague presentation and inconclusive imaging. Surgical intervention is mainstay of treatment although it may be removed endoscopically in accessible parts of the gut and may even pass with defecation without any intervention.

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“…It may remain asymptomatic for months or years after the surgical procedure. 3,4,6,7 The clinical features are nonspecific and are related to the location of the gossypiboma, its relation with other viscera, response of the body and the degree of bacterial contamination. [2][3][4] The present case may be unique example of post-thyroidectomy Gauzoma causing hoarseness of voice and surgical site infection.…”

mentioning

confidence: 99%

Gauzoma: A very rare cause of post-thyroidectomy surgical site infection

Mote

2014

Int Jour of Biomed Res

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Retained Surgical Sponge Presenting as a Gastric Outlet Obstruction and Duodeno-ileo-colic Fistula: Report of a Case

Abstract: An unusual case of a retained surgical sponge migrating to the duodenum causing gastric outlet obstruction and duodeno-ileo-colic fistula is reported.

Cited by 18 publications

References 9 publications

Gossypiboma Presenting as Coloduodenal Fistula – Report of a Rare Case With Review of Literature

Gossypiboma Presenting as Coloduodenal Fistula – Report of a Rare Case With Review of Literature

Intestinal Obstruction Caused by Retained Surgical Swab

Gauzoma: A very rare cause of post-thyroidectomy surgical site infection

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