F1000Research · 2025
Case Report: A Painful Twist of Fate Due to Intra-abdominal Textiloma.
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.
Siala Rakia, Mseddi Mohamed Ali, Yacoub Haythem, Azouz Eya, Hassine Hajer, Yacoubi Chaima, Hsairi Meriem, Trifa Fatma, Boubaker Radhia, Krifa Nesrine, Karim Sallemi, Khemakhem Emna, Mghirbi Abdelwaheb, Bhira Amal, Yahia Yosra, Mestiri Souhir, Guizani Rami, Ghariani Brahim, Sassi Karim, Maghraoui Hamida, Kchir Hela, Ben Slima Mohamed
Аннотация
INTRODUCTION: Textiloma refers to a retained surgical textile material within the body after surgery. It is a rare but serious iatrogenic complication that may remain asymptomatic for years.
CASE PRESENTATION: We report a case of a 38-year-old woman with a history of open ovarian cystectomy 15 years earlier, presenting with persistent abdominal pain. Imaging revealed a complex pelvic mass with abscess formation and enteric fistula. Despite interventional drainage and antibiotic therapy, the patient developed signs of sepsis. Endoscopic evaluation revealed a retained surgical textile in the rectum, which was extracted. The patient subsequently developed generalized peritonitis and underwent emergency laparotomy revealing two retained textilomas and multiple intestinal perforations. Despite aggressive surgical intervention, the patient succumbed to septic shock on postoperative day one.
CONCLUSION: Textiloma should be considered in patients with atypical abdominal masses and previous surgical history. Preventive strategies and early recognition are critical to avoid fatal outcomes.
CASE PRESENTATION: We report a case of a 38-year-old woman with a history of open ovarian cystectomy 15 years earlier, presenting with persistent abdominal pain. Imaging revealed a complex pelvic mass with abscess formation and enteric fistula. Despite interventional drainage and antibiotic therapy, the patient developed signs of sepsis. Endoscopic evaluation revealed a retained surgical textile in the rectum, which was extracted. The patient subsequently developed generalized peritonitis and underwent emergency laparotomy revealing two retained textilomas and multiple intestinal perforations. Despite aggressive surgical intervention, the patient succumbed to septic shock on postoperative day one.
CONCLUSION: Textiloma should be considered in patients with atypical abdominal masses and previous surgical history. Preventive strategies and early recognition are critical to avoid fatal outcomes.