Surgical intervention may not always be required in gossypiboma with intraluminal migration

Alis,; Soylu,; Dolay,; Kalaycl,; Ciltas,

doi:10.3748/wjg.13.6605

Cited by 28 publications

(34 citation statements)

References 12 publications

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“…b MRI of gossypiboma which was misdiagnosed as liver cancer or hydatid cyst. c Endoscopy imaging of gossypiboma which was migrated into the stomach reported from first postoperative day to 43 years [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. This interval period was found to be 14 days to 12 years in our study.…”

Section: Discussionmentioning

confidence: 50%

“…Considering the reports in the literature, open surgery is the most common approach in the treatment for gossypiboma [3,4,9,15]. However, minimally invasive techniques including laparoscopy or endoscopy can be performed both for the treatment and diagnosis depending on the localization of gossypiboma, clinical presentation, skills of the clinician, and availability of medical equipments [1,2,10,16,17]. In this study, removal was performed by laparoscopy in two patients and by endoscopy in one patient.…”

Section: Discussionmentioning

confidence: 94%

“…Despite a published incidence of 1:1000 to 1:1500 after intra-abdominal surgeries, probably it is encountered more commonly than reported since the fear of litigation, disclosing the error by other clinicians and also asymptomatic gossypiboma may mask the real incidence, as well [8][9][10]. Gossypiboma is not associated with the sex.…”

Section: Discussionmentioning

confidence: 96%

“…Patients usually remain asymptomatic; however, they may suffer of nonspecific gastrointestinal symptoms like mild abdominal pain or painless abdominal mass, as well. On the other hand, exudative reaction leads to abscess formation; thus, it may manifest as a severe clinical course resulting in intestinal perforation, obstruction, external-internal fistula formation, or sepsis, which is likely due to the transmural migration of retained surgical sponges [2,3,10,16]. Transmural migration occurs as a result of inflammation in the intestinal wall that evolves into necrosis [17].…”

Section: Discussionmentioning

confidence: 99%

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Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

et al. 2015

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Gossypiboma is the term used to describe a retained non-absorbable surgical material that is composed of cotton matrix which leads to serious surgical complications for both patient and surgeon. Its incidence is not precisely known probably due to medico-legal importance of this potential complication. The condition may manifest either as asymptomatic or severe gastrointestinal complications. The increasing number of recent reports in the literature implies that this issue still remains as an important problem to be solved after intraabdominal surgery. In this report, we aimed to emphasize this potential complication by presenting the clinical outcomes of our 14 patients who underwent different surgical interventions for gossypiboma. Between February 2009 and October 2014, a total of 14 patients who underwent surgery for gossypiboma were reviewed retrospectively. The patients were analyzed with regard to demographic characteristics, initial diagnosisprior surgery, clinical presentation, the interval period from the first operation to last definite operation, diagnostic methods, gossypiboma location, definite surgery, and postoperative outcomes. A total of 14 patients including 6 (42.9 %) male and 8 (57.1 %) female with a median age of 41.4± 12 years (22-61 years) enrolled in this study. The prior surgery of 10 (71.4 %) patients was performed by general surgeons, while 4 (28.6 %) patients were operated by gynecologists. The interval period from prior surgery to definite surgery ranged from 14 days to 113 months. Three (21.4 %) patients were asymptomatic, whereas the vast of the patients were complicated (fistula, ileus, wound infection). Gossypiboma was removed by open surgery, laparoscopic surgery, and endoscopic intervention in 10, 2, and 1 patient, respectively. Removal was performed from perineal wound side in one patient. Removal was enough for definitive treatment in 10 (71.4 %) patients whereas bowel resection and primary repair was performed in 4 (28.6 %) patients due to fistula or perforation. One patient died from intra-abdominal sepsis on postoperative 13th day. Gossypiboma should strongly be considered in differential diagnosis of any postoperative patient with mild gastrointestinal symptom or with persistent wound infection. Adequate surgical intervention should be planned as soon as possible either to prevent further complications or to overcome medico-legal problems, when gossypiboma is detected.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

et al. 2015

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“…The estimated incidence of gossypibomas is highly variable, ranging from one in 100 to one in 19000 cases; because many cases go unreported due to medico-legal problems, the incidence is quite difficult to predict (3,7,8).…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma mistaken for a hydatid cyst

Bozkırlı

Gündoğdu²,

Ersoy

et al. 2018

Turk J Surg

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Although considered a rare complication, gossypiboma continues to be a clinically important and probably more frequently encountered than reported situation. Here we present a case of gossypiboma that was mistaken for a hydatid cyst in the preoperative evaluation. A 34-year-old male patient with a history of Nissen fundoplication presented with a large mass palpable in the epigastrium and both the left upper and lower quadrants of the abdomen. Computed tomography was reported to show a 20×18 cm cystic mass with a collapsed germinative membrane inside it. Laparotomy, which was performed with a suggested diagnosis of type 3 hydatid cyst, revealed that the mass was caused by a 30×30 cm surgical abdominal compress. We believe gossypiboma should be kept in mind in the differential diagnosis of abdominal hydatid cysts in the presence of a former abdominal operation, especially when the result of the indirect hemagglutination test is negative.

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