Öz
We report a case of pelvic mass that caused by foreign body (gossypiboma) after 25 years. After physical examination, laboratory, ultrasonography and MRI findings with diagnosis of suspicious pelvic mass, 48 years old woman had undergone laparotomy. Operation revealed right side pelvik complex mass. Some pieces of foreign body (surgical sponge gause) were extracted from the mass. Severe adhesions were removed. Histological examination showed foreign body material surrounded by chronic inflammation, foreign body-type multinucleated giant cells and fibroblastic proliferation. She has a perforated appendectomy 25 years ago, otherwise not spesified. This mass caused by gossypiboma after 25 years.
Anahtar Kelimeler
Kaynakça
- 1. Lone GL , Bhat AH , Tak MY, Garcoo SA. Transdiaphragmatic migratiorı of forgotten gauze sponge: an unreported entity of lung abscess. Eur J Cardiothorac Surg 2005;28:355-357
- 2. Kim SR, Baik HK, Park YW. Retained surgical sponge presenting as a pelvic tumor after 25 years. Int J Gynaecol Obstet. 2003 Aug;82(2):223-225
- 3. Bani-Hani K, Gharaibeh K, Yagha R. Retained Surgical Sponges (Gossypiboma). Asian J Surgery 2008,28(2) .109-115
- 4. Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 2008, 207(1) :80-7
- 5. Regenbogen SE, Greenberg CC, Resch SC, Kollengode A, Cima RR, Zinner MI, Gawande AA. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surgery. 2009 May;145(5):527-35
- 6. Ivica M, Ledinsky M, Radic B, Savic A, Tomas D, Vidovic D, Tomljenovic M, Zovak M, Matejcic A, Nevajda B. After 40 years gossypiboma caused spleen abscess. Coll Antropol. 2009 Sep;33(3):973-5
Öz
Yirmibeş yıllık yabancı cisme (gosipiboma) bağlı bir pelvik kitle vakasını bildirdik. Fizik muayene, ultrasonografi, laboratuvar ve MRI sonrası 48 yaşındaki hastamız şüpheli adneksiyal kitle ön tanısıyla laparotomie alındı. Operasyonda sağ pelvik kompleks kitle görüldü. Kitle içinden yabancı cisim (gazlı bez) parçaları izlendi. Yaygın adezyolizis yapıldı. Histolojik incelemede kronik inflamasyon, yabancı cisim çok nukleuslu dev hücreler ve fibroplastik proliferasyonla çevrili yabancı cisim materyalleri görüldü. Hastanın öyküsünde 25 yıl önceki perfore appendektomi dışında bir batın ameliyatı yoktu. Bu kitle 25 yıl sonra gosipibomaya bağlı olarak oluşmuştur.
Anahtar Kelimeler
Kaynakça
- 1. Lone GL , Bhat AH , Tak MY, Garcoo SA. Transdiaphragmatic migratiorı of forgotten gauze sponge: an unreported entity of lung abscess. Eur J Cardiothorac Surg 2005;28:355-357
- 2. Kim SR, Baik HK, Park YW. Retained surgical sponge presenting as a pelvic tumor after 25 years. Int J Gynaecol Obstet. 2003 Aug;82(2):223-225
- 3. Bani-Hani K, Gharaibeh K, Yagha R. Retained Surgical Sponges (Gossypiboma). Asian J Surgery 2008,28(2) .109-115
- 4. Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 2008, 207(1) :80-7
- 5. Regenbogen SE, Greenberg CC, Resch SC, Kollengode A, Cima RR, Zinner MI, Gawande AA. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surgery. 2009 May;145(5):527-35
- 6. Ivica M, Ledinsky M, Radic B, Savic A, Tomas D, Vidovic D, Tomljenovic M, Zovak M, Matejcic A, Nevajda B. After 40 years gossypiboma caused spleen abscess. Coll Antropol. 2009 Sep;33(3):973-5
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mayıs 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 41 Sayı: 4 |