Retained Textile Foreign Bodies: Experience of 27 Years

Arıkan, Soykan; Kocakuşak, Ahmet

doi:10.20344/amp.5976

Cited by 7 publications

(10 citation statements)

References 20 publications

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“…26 When an intracorporeal mass is observed, surgeons should elaborately investigate the patient's past surgical history by considering the possibility of a textiloma because they are able to mimic any malignant condition. 10 Reintervention through open surgery is the best therapeutic choice to remove gossypiboma as soon as the diagnosis is suspected, and this is what the authors of this case did. Indeed, these postoperative foreign bodies are often extracted under septic conditions making an open laparotomy more justified than a laparoscopic approach to the extraction.…”

Section: Discussionsupporting

confidence: 58%

“…8,9 In 2015, Arikan and Kocakusa 10 described 14 textiloma cases, whose treatment procedures had been followed-up personally by them over a period of 27 years, almost the whole of their professional lives. 10 Locations of textilomas in the patients included the abdominal cavity in seven cases, inguinal surgical wound in four, epigastric surgical wound in one, thyroidectomy lodge in one, and bilateral axillary cavities in one. The case reported here is one of the most commonly seen since it is an intra-abdominal textiloma in a Malagasy woman.…”

Section: Discussionmentioning

confidence: 99%

“…12 The textiloma was initially taken as a tumour recurrence in the case described by this author. In a paper published by Arikan and Kocakusak, 10 reporting on 14 textiloma cases in a period of 27 years, the mean time interval until diagnosis was 14.48 (median: 5.50) months. Some authors have reported cases discovered several years after the initial surgery.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal Textiloma Mimicking as Left Colic Tumour: A Postoperative Complication Still Common in Low-Income Countries

2020

EMJ Radiol

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Retained foreign bodies have become very rare in countries where the safety rules in the operating theatre are very rigorous and follow precise guidelines. There are low-income countries where hospital structures are precarious, in which the implementation of surgical safety rules has only been effective recently. Surgical teams in these countries are not yet well trained in the observance of the guidelines concerning swab count, meaning that textilomas are not uncommon. Abdominal textiloma may be asymptomatic, or present serious gastrointestinal complications such as bowel obstruction, perforation, or fistula formation because of misdiagnosis. It may mimic abscess formation in the early stage or soft tissue masses in the chronic stage. This case report presents a 27-year-old female who underwent an emergency laparotomy in a rural surgical centre for an ectopic pregnancy. Two months later, a swelling had appeared on the left side of her abdomen, gradually increasing in size, which was not very painful but caused digestive discomfort and asthenia. Intermittent fever was described and treated with antibiotics. The patient was referred to a better equipped centre to benefit from a CT scan. A textiloma was strongly suspected on the CT but a left colic mass was not excluded. Laparotomy confirmed the diagnosis of textiloma and the postoperative course was uneventful. Prevention rules must be strengthened in these countries where patients can hardly bear the costs of iterative surgeries for complications that are avoidable.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Abdominal Textiloma Mimicking as Left Colic Tumour: A Postoperative Complication Still Common in Low-Income Countries

2020

EMJ Radiol

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“…The US appearances of RSSs in the abdomen and pelvis have rarely been reported . They vary depending on the type of inflammatory reaction and whether the pad is fragmented or not. RSSs appear most frequently as a curvilinear echo with a strong clean acoustic shadow and a thin anterior hypoechoic halo.…”

Section: Discussionmentioning

confidence: 99%

Sonographic appearances of retained surgical sponges in the abdomen and pelvis

Wang

2019

J of Clinical Ultrasound

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Purpose To describe the sonographic (ultrasound—US) features of retained surgical sponges (RSSs) and compare them with the pathological findings. Methods Ultrasound features of RSSs in nine patients (seven women and two men) identified between June 1996 and July 2015 were retrospectively analyzed. Patient characteristics including gender and age, location of the sponge, time interval until diagnosis, clinical presentation, and patient complaints were evaluated. Results The US appearances of RSSs could be classified into three types. Type I (five cases): an echogenic arc with a strong posterior shadow; type II (two cases): US appearance mimicked a cystic teratoma; type III (two cases): a cystic mass with zigzag‐shaped internal contents. CT and/or MRI showed a mass with density/signal intensity similar to that of the adjacent soft tissues. Conclusion The characteristic US findings along with a history of surgery can help reach a correct diagnosis of RSS.

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“…Retained nonabsorbable surgical material, made of a cotton matrix, can cause mild to severe surgical complications, depending on its location and the time of evolution. 4 The medicolegal implications of such cases favour underreporting; therefore, the actual incidence is unknown.…”

Section: Discussionmentioning

confidence: 99%