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Hidden retained surgical sponge with intestinal migration: A rare case report

INTRODUCTION AND IMPORTANCE: Retained surgical items are mistakenly left items used during surgery. They are not always radiopaque and in literature there are numbers of case reports that were not found by X ray. Transmigration of the retained surgical item to the small intestine is one of the possi...

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Autores principales: Eghbali, Foolad, Bhahdoust, Mansour, Madankan, Ahmad, Mosavari, Hesam, Vaseghi, Hamed, Khanafshar, Elham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178464/
http://dx.doi.org/10.1016/j.ijscr.2022.107274
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author Eghbali, Foolad
Bhahdoust, Mansour
Madankan, Ahmad
Mosavari, Hesam
Vaseghi, Hamed
Khanafshar, Elham
author_facet Eghbali, Foolad
Bhahdoust, Mansour
Madankan, Ahmad
Mosavari, Hesam
Vaseghi, Hamed
Khanafshar, Elham
author_sort Eghbali, Foolad
collection PubMed
description INTRODUCTION AND IMPORTANCE: Retained surgical items are mistakenly left items used during surgery. They are not always radiopaque and in literature there are numbers of case reports that were not found by X ray. Transmigration of the retained surgical item to the small intestine is one of the possible outcomes rarely seen in patients. CASE PRESENTATION: we present a case 32-year-old male with a history of open appendectomy one year ago presented to the emergency department with fever and diffuse abdominal cramps, which worsened after meals. CLINICAL DISCUSSION: Lab tests, abdominal and pelvis sonography, x-rays and CT scan and small intestine series all were unremarkable and only after defecation of a surgical gauze with blue marker, the diagnosis was made. CONCLUSION: In all missed items at the end of operation standard counting protocols must be considered and if we couldn't find the missed item never forget the meticulous follow ups because of a great chance of non-opaque item existence, in extremely rare cases the sponge could entered the bowels without obstruction or perforation and eventually defecated.
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spelling pubmed-91784642022-06-10 Hidden retained surgical sponge with intestinal migration: A rare case report Eghbali, Foolad Bhahdoust, Mansour Madankan, Ahmad Mosavari, Hesam Vaseghi, Hamed Khanafshar, Elham Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Retained surgical items are mistakenly left items used during surgery. They are not always radiopaque and in literature there are numbers of case reports that were not found by X ray. Transmigration of the retained surgical item to the small intestine is one of the possible outcomes rarely seen in patients. CASE PRESENTATION: we present a case 32-year-old male with a history of open appendectomy one year ago presented to the emergency department with fever and diffuse abdominal cramps, which worsened after meals. CLINICAL DISCUSSION: Lab tests, abdominal and pelvis sonography, x-rays and CT scan and small intestine series all were unremarkable and only after defecation of a surgical gauze with blue marker, the diagnosis was made. CONCLUSION: In all missed items at the end of operation standard counting protocols must be considered and if we couldn't find the missed item never forget the meticulous follow ups because of a great chance of non-opaque item existence, in extremely rare cases the sponge could entered the bowels without obstruction or perforation and eventually defecated. Elsevier 2022-06-05 /pmc/articles/PMC9178464/ http://dx.doi.org/10.1016/j.ijscr.2022.107274 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Eghbali, Foolad
Bhahdoust, Mansour
Madankan, Ahmad
Mosavari, Hesam
Vaseghi, Hamed
Khanafshar, Elham
Hidden retained surgical sponge with intestinal migration: A rare case report
title Hidden retained surgical sponge with intestinal migration: A rare case report
title_full Hidden retained surgical sponge with intestinal migration: A rare case report
title_fullStr Hidden retained surgical sponge with intestinal migration: A rare case report
title_full_unstemmed Hidden retained surgical sponge with intestinal migration: A rare case report
title_short Hidden retained surgical sponge with intestinal migration: A rare case report
title_sort hidden retained surgical sponge with intestinal migration: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178464/
http://dx.doi.org/10.1016/j.ijscr.2022.107274
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