Case Report
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A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula

Year 2022, Volume: 11 Issue: 2, 269 - 273, 31.08.2022
https://doi.org/10.47493/abantmedj.1068806

Abstract

Gossypiboma are surgical tampons that are forgotten in the operation area and cause serious complications in the patient. The most frequently forgotten foreign body in operations are surgical tampons. Early recognition of gossypiboma is important to minimize the risk of morbidity and mortality in the patient. While they may be asymptomatic, they may cause complications such as perforation, obstruction, peritonitis, intra-abdominal or enterocutaneous fistula, abscess and sepsis. In the differential diagnosis, hematoma, pseudocyst and tumors should be considered. In computed tomography (CT), the spongy appearance formed as a result of the air trapped in the cotton pad is characteristic. Its treatment is surgery. If possible, the use of radiopaque labeled tampons can be avoided by taking preventive measures such as careful counting of surgical materials before and after each surgical operation. It should be kept in mind in the differential diagnosis of gossypiboma in patients with a history of previous surgery and diagnosed with an intra-abdominal mass.

References

  • 1. Lauwers PR, Hee RHV. Intraperitoneal gossypiboma: the need to count sponges. World J Surg 2000; 24: 521-527. [DOI:10.1007/s002689910084]
  • 2. Kiernan F, Joyce M, Byrnes CK, O'Grady H, Keane FBV, Neary P. Gossypiboma: a case report and review of the literature. Ir J Med Sci 2008; 177: 389-391. [DOI:10.1007/s11845-008-0197-0]
  • 3. Yıldırım S, Tarım A, Nursal TZ, Yıldırım T,Çalışkan K, Torer N, et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg 2006; 391: 390-395.
  • 4. Yakan S, Öztürk S, Harman M, Tekesin O, Çoker A. Gossypiboma mimicking a distal pancreatic mass: Report of a case. Cent Eur J Med 2010; 5: 136-139. [DOI:10.2478/s11536-009-0096-4]
  • 5. Rappaport W, Haynes K. The retained surgical sponge following intra-abdominal surgery. Arch Surg 1990; 125: 405-407.
  • 6. Çevik İ, Dillioğlugil Ö, Özveri H, Akdaş A. Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol 2008; 40: 885-888.
  • 7. Yanamura N, Nakajima K, Takahashi T, Uemura M, Nishitani A, Souma Y, Nishida T. Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: Report of a case. Surg Today 2008; 38: 552-554.
  • 8. Dhillon JS, Park A. Transmural migration of a retained laparotomy sponge. Am Surg 2002; 68: 603-605.
  • 9. Rajagopal A, Martin J. Gossypiboma “a surgeon's legacy”: report of a case and review of the literature. Dis Colon Rectum 2002; 45:119-120. [DOI:10.1007/ s10350-004-6124-1]
  • 10. Gümüştaş OG, Gümüştaş A, Yalçın R, Savcı G, Soylu RA. Unusual causes of small bowel obstruction and contemporary diagnostic algorithm. J Med Imag Rad Oncol 2008;52(2): 208-15.
  • 11. Kokubo T, Itai Y, Ohtomo K et al. Retained surgical sponges: CT and US appearance. Radiology 1987; 165(3): 415–8.
  • 12. Gawande AA, Studder DM, Orav EJ, Brennan TA, Zinner MJ. Risc factors for retained instruments and sponges after surgery. N Engl J Med 2003; 348: 229-235. [DOI:10.1056/NEJMsa021721]
  • 13. Kalovidouris A, Kehagias D, Moulopoulos L, Gouliamos A, Pentea S, Vlahos L. Abdominal retained surgical sponges: CT appearances. Eur Radiol 1999;9(9):1407–10.
  • 14. Young ST, Paulson EK, McCann RL, Baker ME. Appearances of oxidized cellulose (surgicel) on postoperative CT scans: similarity to post-operative abscess. AJR 1993;160(2):275–7.
  • 15. Cruz RJ, Figueiredo LFP, Guerra L. Intracolonic obstruction ınduced by a retained surgical sponge after trauma laparotomy. J Trauma 2003;55(7):989 –91.

Nadir Medikolegal Bir Akut Batın Nedeni: Enteroenterik ve Enterokutanöz Fistüle Neden Olan Gossipiboma

Year 2022, Volume: 11 Issue: 2, 269 - 273, 31.08.2022
https://doi.org/10.47493/abantmedj.1068806

Abstract

Gossipiboma, operasyonda ameliyat bölgesinde unutulan ve hastada ciddi komplikasyonlara neden olan cerrahi tamponlardır. Operasyonlarda en sık unutulan yabancı cisim cerrahi tamponlardır. Hastada morbidite ve mortalite riskini en aza indirmek için gossipibomanın erken tanınması önemlidir. Asemptomatik olabileceği gibi, perforasyon, obstrüksiyon, peritonit, intraabdominal veya enterokutanöz fistül, abse ve sepsis gibi komplikasyonlara neden olabilirler. Ayırıcı tanıda hematom, psödokist ve tümörler düşünülmelidir. Bilgisayarlı tomografide (BT) pamuklu tampon içinde havanın hapsolması sonucu oluşan süngerimsi görünüm karakteristiktir. Tedavisi cerrahidir. İmkan varsa radyoopak işaretli tampon kullanılması, her cerrahi operasyon öncesi ve sonrasında cerrahi malzemelerin dikkatli sayımı gibi önleyici tedbirler alınarak önlenebilir. Geçirilmiş ameliyat öyküsü olan ve karın içi kitle tanısı alan hastalarda gossipiboma ayırıcı tanıda akılda tutulmalıdır.

References

  • 1. Lauwers PR, Hee RHV. Intraperitoneal gossypiboma: the need to count sponges. World J Surg 2000; 24: 521-527. [DOI:10.1007/s002689910084]
  • 2. Kiernan F, Joyce M, Byrnes CK, O'Grady H, Keane FBV, Neary P. Gossypiboma: a case report and review of the literature. Ir J Med Sci 2008; 177: 389-391. [DOI:10.1007/s11845-008-0197-0]
  • 3. Yıldırım S, Tarım A, Nursal TZ, Yıldırım T,Çalışkan K, Torer N, et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg 2006; 391: 390-395.
  • 4. Yakan S, Öztürk S, Harman M, Tekesin O, Çoker A. Gossypiboma mimicking a distal pancreatic mass: Report of a case. Cent Eur J Med 2010; 5: 136-139. [DOI:10.2478/s11536-009-0096-4]
  • 5. Rappaport W, Haynes K. The retained surgical sponge following intra-abdominal surgery. Arch Surg 1990; 125: 405-407.
  • 6. Çevik İ, Dillioğlugil Ö, Özveri H, Akdaş A. Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol 2008; 40: 885-888.
  • 7. Yanamura N, Nakajima K, Takahashi T, Uemura M, Nishitani A, Souma Y, Nishida T. Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: Report of a case. Surg Today 2008; 38: 552-554.
  • 8. Dhillon JS, Park A. Transmural migration of a retained laparotomy sponge. Am Surg 2002; 68: 603-605.
  • 9. Rajagopal A, Martin J. Gossypiboma “a surgeon's legacy”: report of a case and review of the literature. Dis Colon Rectum 2002; 45:119-120. [DOI:10.1007/ s10350-004-6124-1]
  • 10. Gümüştaş OG, Gümüştaş A, Yalçın R, Savcı G, Soylu RA. Unusual causes of small bowel obstruction and contemporary diagnostic algorithm. J Med Imag Rad Oncol 2008;52(2): 208-15.
  • 11. Kokubo T, Itai Y, Ohtomo K et al. Retained surgical sponges: CT and US appearance. Radiology 1987; 165(3): 415–8.
  • 12. Gawande AA, Studder DM, Orav EJ, Brennan TA, Zinner MJ. Risc factors for retained instruments and sponges after surgery. N Engl J Med 2003; 348: 229-235. [DOI:10.1056/NEJMsa021721]
  • 13. Kalovidouris A, Kehagias D, Moulopoulos L, Gouliamos A, Pentea S, Vlahos L. Abdominal retained surgical sponges: CT appearances. Eur Radiol 1999;9(9):1407–10.
  • 14. Young ST, Paulson EK, McCann RL, Baker ME. Appearances of oxidized cellulose (surgicel) on postoperative CT scans: similarity to post-operative abscess. AJR 1993;160(2):275–7.
  • 15. Cruz RJ, Figueiredo LFP, Guerra L. Intracolonic obstruction ınduced by a retained surgical sponge after trauma laparotomy. J Trauma 2003;55(7):989 –91.
There are 15 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Recep Çağlar 0000-0003-0987-9202

Publication Date August 31, 2022
Submission Date February 6, 2022
Published in Issue Year 2022 Volume: 11 Issue: 2

Cite

APA Çağlar, R. (2022). A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula. Abant Medical Journal, 11(2), 269-273. https://doi.org/10.47493/abantmedj.1068806
AMA Çağlar R. A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula. Abant Med J. August 2022;11(2):269-273. doi:10.47493/abantmedj.1068806
Chicago Çağlar, Recep. “A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula”. Abant Medical Journal 11, no. 2 (August 2022): 269-73. https://doi.org/10.47493/abantmedj.1068806.
EndNote Çağlar R (August 1, 2022) A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula. Abant Medical Journal 11 2 269–273.
IEEE R. Çağlar, “A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula”, Abant Med J, vol. 11, no. 2, pp. 269–273, 2022, doi: 10.47493/abantmedj.1068806.
ISNAD Çağlar, Recep. “A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula”. Abant Medical Journal 11/2 (August 2022), 269-273. https://doi.org/10.47493/abantmedj.1068806.
JAMA Çağlar R. A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula. Abant Med J. 2022;11:269–273.
MLA Çağlar, Recep. “A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula”. Abant Medical Journal, vol. 11, no. 2, 2022, pp. 269-73, doi:10.47493/abantmedj.1068806.
Vancouver Çağlar R. A Rare Medicolegal Cause of Acute Abdomen: Gossypiboma Causing Enteroenteric and Enterocutaneous Fistula. Abant Med J. 2022;11(2):269-73.