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Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report

Introduction. Gossypiboma (GP) is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be t...

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Autores principales: Aydogan, Akin, Akkucuk, Seckin, Yetim, Ibrahim, Ozkan, Orhan Veli, Karcioglu, Murat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485905/
https://www.ncbi.nlm.nih.gov/pubmed/23133784
http://dx.doi.org/10.1155/2012/543203
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author Aydogan, Akin
Akkucuk, Seckin
Yetim, Ibrahim
Ozkan, Orhan Veli
Karcioglu, Murat
author_facet Aydogan, Akin
Akkucuk, Seckin
Yetim, Ibrahim
Ozkan, Orhan Veli
Karcioglu, Murat
author_sort Aydogan, Akin
collection PubMed
description Introduction. Gossypiboma (GP) is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP. Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization. Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it.
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spelling pubmed-34859052012-11-06 Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report Aydogan, Akin Akkucuk, Seckin Yetim, Ibrahim Ozkan, Orhan Veli Karcioglu, Murat Case Rep Surg Case Report Introduction. Gossypiboma (GP) is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP. Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization. Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it. Hindawi Publishing Corporation 2012 2012-10-24 /pmc/articles/PMC3485905/ /pubmed/23133784 http://dx.doi.org/10.1155/2012/543203 Text en Copyright © 2012 Akin Aydogan et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aydogan, Akin
Akkucuk, Seckin
Yetim, Ibrahim
Ozkan, Orhan Veli
Karcioglu, Murat
Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title_full Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title_fullStr Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title_full_unstemmed Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title_short Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report
title_sort gossypiboma causing mechanical intestinal obstruction: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485905/
https://www.ncbi.nlm.nih.gov/pubmed/23133784
http://dx.doi.org/10.1155/2012/543203
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