International journal of surgery case reports · 2025
Gossypiboma-induced ileal obstruction following cholecystectomy: A case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Adelyar Mohammad Asef, Tavakkoli Mahmoud, Hassani Ghulam Saki, Anwary Muska, Saadaat Ramin, Anwari Maiwand
Аннотация
INTRODUCTION: Gossypiboma, the retention of surgical material in the body post-surgery, is a rare but serious complication often underreported due to legal and reputational concerns. It commonly occurs after abdominal surgeries, with presentations ranging from abscess formation to intestinal obstruction.
PRESENTATION OF CASE: An 18-year-old girl presented with abdominal pain and distention, along with vomiting for six weeks after cholecystectomy. Initial misdiagnoses as pancreatitis delayed appropriate treatment. Exploratory laparotomy revealed an intra-abdominal gossypiboma, which had transmigrated into the ileum, causing obstruction. Surgical removal of the retained pack and ileal resection with primary anastomosis were performed, leading to a successful recovery.
DISCUSSION: The incidence of gossypiboma varies widely and depends on surgical practices. Transmural migration into the gastrointestinal tract, as seen in this case, is rare and potentially life-threatening. Accurate sponge counts, use of radio-opaque materials, and adherence to safety protocols are crucial preventive measures. Imaging modalities aid diagnosis, but surgical exploration remains definitive in uncertain cases.
CONCLUSION: This case highlights the critical need for awareness, accurate surgical protocols, and vigilance in postoperative management to prevent and manage gossypibomas. Early recognition and intervention can mitigate complications and improve patient outcomes.
PRESENTATION OF CASE: An 18-year-old girl presented with abdominal pain and distention, along with vomiting for six weeks after cholecystectomy. Initial misdiagnoses as pancreatitis delayed appropriate treatment. Exploratory laparotomy revealed an intra-abdominal gossypiboma, which had transmigrated into the ileum, causing obstruction. Surgical removal of the retained pack and ileal resection with primary anastomosis were performed, leading to a successful recovery.
DISCUSSION: The incidence of gossypiboma varies widely and depends on surgical practices. Transmural migration into the gastrointestinal tract, as seen in this case, is rare and potentially life-threatening. Accurate sponge counts, use of radio-opaque materials, and adherence to safety protocols are crucial preventive measures. Imaging modalities aid diagnosis, but surgical exploration remains definitive in uncertain cases.
CONCLUSION: This case highlights the critical need for awareness, accurate surgical protocols, and vigilance in postoperative management to prevent and manage gossypibomas. Early recognition and intervention can mitigate complications and improve patient outcomes.