Gossypiboma: the failure of a successful intervention.

Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE

Original Publication: Kampala, Uganda : African Field Epidemiology Network

Abdominal Pain/*diagnosis ; Abdominal Pain/*etiology ; Cesarean Section/*adverse effects ; Foreign Bodies/*diagnosis; Abdominal Pain/surgery ; Adult ; Diagnosis, Differential ; Female ; Foreign Bodies/complications ; Foreign Bodies/surgery ; Humans ; Iatrogenic Disease ; Intestinal Perforation/diagnosis ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Laparotomy ; Surgical Sponges/adverse effects ; Treatment Outcome

Competing Interests: The authors declare no competing interests.
If successful surgery is the primary quest of any surgeon, unintentionally leaving behind surgical items in the operative field remains his most feared obsession. This rare but dramatic accident can lead to potentially fatal complications and turn both lives of the surgeon and the patient upside down. We present the case of a 29-year-old female patient who presented to the ER with three days history of severe diffuse abdominal pain associated with fever, biological inflammatory syndrome and well-tolerated iron deficiency anaemia. She had no past medical history except for a lower segment cesarean section 5 months ago. Abdominal MRI allowed the diagnosis of two gossypibomas responsible for two intra-abdominal collections. An emergency laparotomy allowed the removal of these foreign bodies and the management of their serious complications of intestinal perforation by the construction of a double intestinal stoma. The patient made a post-operative uneventful recovery. This observation emphasizes the need to raise the practitioner´s awareness about this differential diagnosis in every case of any poorly localized abdominal pain occurring after surgery.
(Copyright: Atef Mejri et al.)

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Keywords: Surgery; complication; gastrointestinal perforation; iatrogenia; textiloma

Date Created: 20201116 Date Completed: 20210126 Latest Revision: 20210126

20250114

PMC7603822

10.11604/pamj.2020.36.335.25464

33193988