E-ISSN 2534-9821
 

Case Series 


Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune

Manisha Ruchandani, Amit Jain, Akshat Kuchhal, Shubhangi Gupta, Archit Jain.

Abstract
Gossypiboma, cottonoid or textiloma, are the common terms used for the cotton or woven fabric which is incidentally left behind in a body cavity during surgery. Gossypiboma is a serious complication which is rarely reported because of its medicolegal issues. The cases of retained surgical sponges are most commonly diagnosed intra-abdominally but they can also be diagnosed in the spine, thorax, breast, central nervous system, and extremities. Gossypiboma has a variable presentation, and it is difficult to diagnose. They can lead to an inflammatory reaction, secondary infection or abscess formation in acute cases. A foreign body usually remains asymptomatic for a long duration, and later it may present with intestinal obstruction, mass formation, peritonitis or fistulisation[1]. It has also been reported to migrate transmurally into adjacent hollow viscous. We are reporting two cases of migrating Gossypiboma presenting with obstructive symptoms. The first case is a 56-year-old female patient who was admitted with pain abdomen, with nausea and vomiting. She had a history of open cholecystectomy four months back and was detected to have a retained surgical sponge which had migrated into the stomach transmurally and was diagnosed by imaging and confirmed during surgical exploration. The second case was a 36-year-old female admitted with pain in the abdomen for the past 2 weeks which was associated with vomiting. She had undergone dilatation and curettage following misconception six months back followed by a surgical procedure. The retained surgical sponge was diagnosed in the ileum by imaging and confirmed during exploratory laparotomy.

Key words: Retained Surgical Sponge (RSS), Gossypiboma, Foreign bodies


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Manisha Ruchandani
Articles by Amit Jain
Articles by Akshat Kuchhal
Articles by Shubhangi Gupta
Articles by Archit Jain
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Ruchandani M, Jain A, Kuchhal A, Gupta S, Jain A. Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. Int J Med Rev Case Rep. 2022; 6(8): 53-55. doi:10.5455/IJMRCR.172-1644655793


Web Style

Ruchandani M, Jain A, Kuchhal A, Gupta S, Jain A. Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. https://www.mdpub.net/?mno=37678 [Access: June 12, 2022]. doi:10.5455/IJMRCR.172-1644655793


AMA (American Medical Association) Style

Ruchandani M, Jain A, Kuchhal A, Gupta S, Jain A. Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. Int J Med Rev Case Rep. 2022; 6(8): 53-55. doi:10.5455/IJMRCR.172-1644655793



Vancouver/ICMJE Style

Ruchandani M, Jain A, Kuchhal A, Gupta S, Jain A. Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. Int J Med Rev Case Rep. (2022), [cited June 12, 2022]; 6(8): 53-55. doi:10.5455/IJMRCR.172-1644655793



Harvard Style

Ruchandani, M., Jain, . A., Kuchhal, . A., Gupta, . S. & Jain, . A. (2022) Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. Int J Med Rev Case Rep, 6 (8), 53-55. doi:10.5455/IJMRCR.172-1644655793



Turabian Style

Ruchandani, Manisha, Amit Jain, Akshat Kuchhal, Shubhangi Gupta, and Archit Jain. 2022. Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. International Journal of Medical Reviews and Case Reports, 6 (8), 53-55. doi:10.5455/IJMRCR.172-1644655793



Chicago Style

Ruchandani, Manisha, Amit Jain, Akshat Kuchhal, Shubhangi Gupta, and Archit Jain. "Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune." International Journal of Medical Reviews and Case Reports 6 (2022), 53-55. doi:10.5455/IJMRCR.172-1644655793



MLA (The Modern Language Association) Style

Ruchandani, Manisha, Amit Jain, Akshat Kuchhal, Shubhangi Gupta, and Archit Jain. "Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune." International Journal of Medical Reviews and Case Reports 6.8 (2022), 53-55. Print. doi:10.5455/IJMRCR.172-1644655793



APA (American Psychological Association) Style

Ruchandani, M., Jain, . A., Kuchhal, . A., Gupta, . S. & Jain, . A. (2022) Retained surgical sponge migrating in hollow viscous presenting with obstructive symptoms: gossypiboma - a surgeon’s misfortune. International Journal of Medical Reviews and Case Reports, 6 (8), 53-55. doi:10.5455/IJMRCR.172-1644655793