Unexpected autoptic finding in a sudden death: Gossypiboma

Falleti, Jessica; Somma, Angela Di; Baldassarre, Francesca; Accurso, Antonello; D'Ettorre, A; Insabato, Luigi

doi:10.1016/j.forsciint.2010.02.019

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…On the other hand, it has been reported that gossypibomas can mimic haematomas, abscesses, cysts or tumours on transabdominal US 2. Recently reported are some rare cases of retained surgical sponges in the retroperitoneum,8 in the thorax,9 as a supravesical mass simulating a bladder wall after 35 years of an appendectomy10 and even in the neck 11…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma as a rare cause of abdominal mass

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Gossypiboma as a rare cause of abdominal mass

et al. 2014

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“…The complications and sequelae of the RSG object vary according to its location in the body. It has been reported that, acutely, it can lead to a septic course resulting in abscess or granuloma formation, whereas in delayed presentations, it can lead to adhesion formation, encapsulation, cyst formation, fistulization or direct migration to a lumen, intestinal obstruction, malabsorption and gastrointestinal hemorrhage [5-8], or even a sudden death [9]. …”

Section: Discussionmentioning

confidence: 99%

A new complication of retained surgical gauze: development of malignant fibrous histiocytoma – report of a case with a literature review

Kaplan

İyiköşker²

2012

World J Surg Onc

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BackgroundPrimary visceral malignant fibrous histiocytoma (MFH) is a rare disease, and few cases have been reported in the English literature. However, retained foreign bodies in the abdomen after surgical procedures are important causes of intra-abdominal infections. For legal and ethical reasons, there are few publications in the literature. In this article, we describe for the first time a case of malign abdominal fibrous histiocytoma associated with a surgical sponge forgotten in the abdominal cavity a long time ago.Case presentationA 64-year-old male presented to our surgical department with cachexia, abdominal pain, distention and pyrexia of unknown origin. He had a medical history of abdominal surgery for peptic ulcer perforation 32 years ago. Clinical examination revealed fever with a distended and painful abdominal wall. Radiological imaging of the abdomen showed multiple heterogeneous masses in one large cystic cavityalmost completely filling the abdomen. The patient underwent a laparotomy, and interestingly, opening the cyst revealed retained surgical gauze (RSG). The origin of the tumor was the visceral peritoneum, and it was excised totally.ConclusionsPrimary intra-abdominal MFH can present as a complication of long-lasting RSG. Therefore, clinicians must remember this while establishing the differential diagnosis for patients with a history of previous abdominal surgery and presenting with symptoms associated with both the tumor and systemic inflammatory response.

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“…Thyroid pathology Age Gender [3] Hypothyroidism, pulmonary thromboembolism F [3] Hypothyroidism, pulmonary thromboembolism M [4] Hyperthyroidism, Graves F [5] Hyperthyroidism F [6] Black thyroid F [7] Hyperthyroidism F [8] Gossypiboma M [9] Apituitarism, 13q-syndrome M [10] Lymphocytic hypophysitis F [11] Hyperthyroidism +Type 1 DM F [11] Hyperthyroidism +Type 1 DM F [12] Lymphocytic thyroiditis M [12] Lymphocytic thyroiditis F [12] Lymphocytic thyroiditis F [12] Lymphocytic thyroiditis F [13] Hyperthyroidism F [14] Lymphocytic thyroiditis, hypothyroidism M [15] Hashimoto F [15] Hyperthyroidism M [2] Myxedema M [16] Hyperthyroidism F [17] Hyperthyroidism F [18] Subclinical thyroid pathology F [19] Hashimoto Young F [20] Hypothyroidism M [20] Hyperthyroidism M [20] Hyperthyroidism, fulminant thyroiditis M [21] After subtotal thyroidectomy for Hyperthyroidism, laryngospasm F [22] Lymphoid thyroiditis F [23] Hyperthyroidism F [23] Partial thyroidectomy after Hyperthyroidism F [24] Hyperthyroidism +hypokalemic periodic paralysis M [25] Hyperthyroidism F [26] Hyperthyroidism F [27] Hyperthyroidism F [28] Hypothyroidism F [29] Hyperthyroidism F [30] Atrophic thyroiditis, hypothyroidism, myxedema related cardiac tamponade F [31] Thyroid hormone abuse F…”

Section: Referencementioning

confidence: 99%

Sudden thyroid death. A systematic review

Hostiuc¹,

Luca²,

Iliescu³

et al. 2015

RJLM

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Sudden death due to thyroid disorders is a rare occurrence in forensic practice. Marked changes of thyroid plasma hormones in short periods of time are known to be life threatening, but they are usually identifiable in patients with known thyroid disorders, and therefore do not comply with the definition of sudden death. In order to properly identify published sudden thyroid death cases we performed an extensive search on Web of Science. We found 31 articles containing case presentations of possible sudden thyroid deaths, from which were identified a total number of 42 cases. There are three main thyroid pathologies associated with sudden unexpected death: hyperthyroidism (usually in the context of a Graves' disease or toxic multinodular goiter), hypothyroidism (usually associated with Hashimoto's thyroiditis), and lymphocytic thyroiditis (most likely associated with lymphocytic hypophysitis). We also present a diagnosis algorithm for detecting thyroid and related pathologies in sudden unexpected deaths.

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Unexpected autoptic finding in a sudden death: Gossypiboma

Cited by 7 publications

References 15 publications

Gossypiboma as a rare cause of abdominal mass

Gossypiboma as a rare cause of abdominal mass

A new complication of retained surgical gauze: development of malignant fibrous histiocytoma – report of a case with a literature review

Sudden thyroid death. A systematic review

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