Transmural Migration of a Retained Sponge Through the Rectum: A Case Report

Abstract

Retained surgical sponge in the abdomen following abdominal and pelvic surgery is an uncommon condition. Here we present a case of retained surgical sponge with unusual presenting symptoms. A 27-year old female patient presented to our department with a foreign body localized in the anal region. She had a past history of a myomectomy 1 year earlier. Clinical examination and radiographic workout revealaed a sponge migrating towards the rectum. The sponge was removed under visual guidance of rectoscopy without laparotomy. The patient was discharged without complications.

Keywords

• Gossypiboma, transmural migration, expulsion per rectum

Transmural Migration of a Retained Sponge Through the Rectum: A Case Report

Öz

References

1. Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural mi- gration of retained surgical sponges: a systematic review. Obstet Gynecol Surv 2008;63:465-71. [CrossRef]
2. Sarda AK, Pandey D, Neogi S, Dhir U. Postoperative compli- cations due to a retained surgical sponge. Singapore Med J 2007;48:160-4.
3. Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma). Asian J Surg 2005;28:109-15. [CrossRef]
4. Rappaport W, Haynes K. The retained surgical sponge follow- ing intra-abdominal surgery. A continuing problem. Arch Surg 1990;125:405-7.
5. Ahmad G, Attiq-ur-Rehman S, Anjum MZ. Retained sponge after abdominal surgery. J Coll Physicians Surg Pak 2003;13:640-3.
6. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003;348:229-35. [CrossRef]
7. A Malik, Jagmohan P. Gossypiboma : US and CT appearance. Ind J Radiol Imag 2002;2:503-4.
8. Yeung KW, Chang MS, Huang JF. Imaging of transmural migra- tion of a retained surgical sponge: a case report. Kaohsiung J Med Sci 2004;20:567-71. [CrossRef]

9. Yamamura N, Nakajima K, Takahashi T, Uemura M, Nishitani A, Souma Y et al. Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: Re- port of a case. Surg Today 2008;38:552-4. [CrossRef]
10. Prasad S, Krishnan A, Limdi J, Patankar T. Imaging features of gos- sypiboma: report of two cases. J Postgrad Med 1999;45:18-9.
11. Godara R, Marwah S, Karwasra RK, Goel R, Sen J, Singh R. Spon- taneous transmural migration of surgical sponges. Asian J Surg 2006;29:44-5. [CrossRef]
12. Choi JW, Lee CH, Kim KA, Park CM, Kim JY. Transmural migration of surgical sponge evacuated by defecation: mimicking an intra- peritoneal gossypiboma. Korean J Radiol 2006;7:212-4. [CrossRef]