Abstract
Gossypiboma or textiloma is a mass of cotton matrix which is retained in body cavity following a surgical procedure. Most frequently diagnosed in abdominal cavity following emergency surgeries especially Gynecological and Obstetric procedure.
Clinical manifestations of these cases are as fistula, abscess, intestinal obstruction or aseptic fibrotic reaction, which develops into mass abdomen. But intraluminal migration of retained surgical sponge in gastro-intestinal lumen is rare.
We are reporting a rare case of spontaneous migration of surgical sponge into lumen of Ileum in a 34 years old lady following Caesarean section 8 months ago. Clinical examination revealed a palpable lump in left Para umbilical region. CT scan of abdomen revealed mass in small intestine (Ileum).
On exploratory laparotomy a mass was seen in Ileum with minimal surrounding adhesion. Mass was excised in toto followed by Ileo-ileal anastomosis.
A 30X30 cm surgical sponge was removed from Ileal loop.
Keywords: Gossypiboma, Intraluminal migration, Retained surgical sponge, Ileocecal valve
References
- Sozutek A, Yormaz S, Kupeli H, Saban B. Transgastric migration of gossypiboma remedied with endoscopic removal: a case report. BMC research notes. 2013 Dec;6(1):413.
- Kadam A, Jain S, Salve L. Gossypiboma: A Rare Case of Spontaneous Intraluminal Migration of Surgical Sponge.
- Silva CS, Caetano MR, Silva EA, Falco L, Murta EF. Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Archives of gynecology and obstetrics. 2001 May 1;265(2):103-4.
- Düx M, Ganten M, Lubienski A, Grenacher L. Retained surgical sponge with migration into the duodenum and persistent duodenal fistula. European radiology. 2002 Dec 1;12(3):S74-7.
- Haddad R, Judice LF, Chibante A, Ferraz D. Migration of surgical sponge retained at mediastinoscopy into the trachea. Interactive cardiovascular and thoracic surgery. 2004 Dec 1;3(4):637-40.
- Sarda AK, Pandey D, Neogi S, Dhir U. Postoperative complications due to a retained surgical sponge. Singapore medical journal. 2007 Jun;48(6):e160-4.
- Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural migration of retained surgical sponges: a systematic review. Obstetrical & gynecological survey. 2008 Jul 1;63(7):465-71.
- Glockemann K, Fröhlich H, Bernhards J, Büttner D. Peranal passage of a surgical sponge: fortunate outcome of an intraoperative oversight. Der Chirurg; Zeitschrift fur alleGebiete der operative Medizen. 2005 Jun;76(6):595-8.
Corresponding Author
Dr Govind Madhav
Department of General Surgery Jaipur Golden Hospital, Sector -3, Rohini, New Delhi, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.75
