Transmural penetration of sigmoid colon and rectum by retained surgical sponge after hysterectomy

Gossypiboma is a surgical sponge that is retained in the body after the operation. A 39-year-old female presented with vague lower abdominal pain, fever, and rectal discharge 15 mo after hysterectomy. The sponge remaining in the abdomen had no radiopaque marker. Therefore a series of radiographic ev...

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Published inWorld journal of gastroenterology : WJG Vol. 22; no. 10; pp. 3052 - 3055
Main Authors Shin, Woo Young, Im, Chan Hyuk, Choi, Sun Keun, Choe, Yun-Mee, Kim, Kyung Rae
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 14.03.2016
Subjects
Adult
Case Report
Colon, Sigmoid - diagnostic imaging
Colon, Sigmoid - injuries
Colon, Sigmoid - surgery
Colonoscopy
Device Removal
Female
foreign
Foreign Bodies - diagnostic imaging
Foreign Bodies - etiology
Foreign Bodies - surgery
Gossypiboma;Textiloma;Retained
Humans
Hysterectomy - adverse effects
Intestinal Perforation - diagnostic imaging
Intestinal Perforation - etiology
Intestinal Perforation - surgery
marker
object;Surgical
Rectum - diagnostic imaging
Rectum - injuries
Rectum - surgery
Reoperation
sponge;Radiopaque
Surgical Sponges - adverse effects
Tomography, X-Ray Computed
Treatment Outcome
Textiloma
Surgical sponge
Radiopaque marker
Gossypiboma
Retained foreign object
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Summary:Gossypiboma is a surgical sponge that is retained in the body after the operation. A 39-year-old female presented with vague lower abdominal pain, fever, and rectal discharge 15 mo after hysterectomy. The sponge remaining in the abdomen had no radiopaque marker. Therefore a series of radiographic evaluations was fruitless. The surgical sponge was found in the rectosigmoid colon on colonoscopy. The sponge penetrated the sigmoid colon and rectum transmurally, forming an opening on both sides. The patient underwent low anterior resection and was discharged without postoperative complications.
Bibliography:Woo Young Shin;Chan Hyuk Im;Sun Keun Choi;Yun-Mee Choe;Kyung Rae Kim;Department of Surgery,Inha University Hospital,Inha University College of Medicine
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Correspondence to: Sun Keun Choi, MD, Professor, Department of Surgery, Inha University Hospital, Inha University College of Medicine, 27 Inhang-ro, Jung-gu, Incheon 400-711, South Korea. karam66@inha.ac.kr
Telephone: +82-32-8903409 Fax: +82-32-8903549
Author contributions: Shin WY wrote the paper; Choi SK performed the operation and designed the study; Im CH, Choe YM and Kim KR reviewed and revised the report.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v22.i10.3052