Cirugia y cirujanos · 2013
[Postoperative intra-abdominal foreign body resemblance to neoplasm. Report of a case and review of the bibliography].
Клинический случайАннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Gil-Romea Ismael, Valcarreres-Rivera María Pilar, Palacios-Gasos Pilar, Lamata-Delaorden Laura, Quintana-Martínez Jesús, Moreno-Mirallas María Jesús
Аннотация
INTRODUCTION: Gossypibomas or textilomas are materials remain in the abdomen after surgery. It is very difficult to assess its impact due to medico-legal implications, hence the interest in the publication of this type of pathology.
CLINICAL CASE: Women of 76 years who had undergone a hysterectomy and double anexectomy 6 months before admission to our hospital, apparently without perioperative complications. When she was assessed in our hospital she had a clinical picture simulating a malignancy. In our case, the patient had signs and symptoms of advanced intra-abdominal malignancy, such as chronic anemia, significant weight loss and palpable abdominal mass. The diagnostic procedure combined computed tomography and colonoscopy, aiming to find the signs of intra-abdominal gossypiboma. Three bowel resections were performed to extract the foreign body, with satisfactory postoperative results and remaining asymptomatic to date.
CONCLUSION: Intra-abdominal gossypibomas are exceptional, although the diagnosis is made through imaging and, if suspected GI neoplasm, endoscopic studies. The primary differential diagnosis must be made with intra-abdominal malignancies.
CLINICAL CASE: Women of 76 years who had undergone a hysterectomy and double anexectomy 6 months before admission to our hospital, apparently without perioperative complications. When she was assessed in our hospital she had a clinical picture simulating a malignancy. In our case, the patient had signs and symptoms of advanced intra-abdominal malignancy, such as chronic anemia, significant weight loss and palpable abdominal mass. The diagnostic procedure combined computed tomography and colonoscopy, aiming to find the signs of intra-abdominal gossypiboma. Three bowel resections were performed to extract the foreign body, with satisfactory postoperative results and remaining asymptomatic to date.
CONCLUSION: Intra-abdominal gossypibomas are exceptional, although the diagnosis is made through imaging and, if suspected GI neoplasm, endoscopic studies. The primary differential diagnosis must be made with intra-abdominal malignancies.