Intraperitoneal gossypibomas: The need to count sponges

被引:91
作者
Lauwers, PR
Van Hee, RH
机构
[1] Stuivenberg Gen Hosp, Dept Surg, B-2000 Antwerp, Belgium
[2] Univ Antwerp Hosp, Dept Surg, B-2650 Antwerp, Belgium
关键词
D O I
10.1007/s002689910084
中图分类号
R61 [外科手术学];
学科分类号
摘要
Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow, Computed tomography shows a well defined mass with internal heterogenous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed.
引用
收藏
页码:521 / 527
页数:7
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