Transmural migration of a surgical compress into the stomach after splenectomy: A case report


Akbulut S., Sevinc M., Basak F., Aksoy S., Cakabay B.

Cases Journal, cilt.2, sa.7, 2009 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2 Sayı: 7
  • Basım Tarihi: 2009
  • Doi Numarası: 10.4076/1757-1626-2-7975
  • Dergi Adı: Cases Journal
  • Derginin Tarandığı İndeksler: Scopus
  • İnönü Üniversitesi Adresli: Evet

Özet

A surgical compress retained in the abdominal cavity following surgery is a serious problem. Here, we describe a 33-year-old female who was admitted with abdominal pain, vomiting, no passage of gas or feces, and abdominal distension for 3 days. She had a splenectomy at another medical center 4 years previously. An upright plain abdominal film revealed small bowel obstruction with marked small bowel air-fluid levels. The physical examination revealed muscular guarding and rebound tenderness in the periumbilical region. Therefore, a laparotomy was performed. A surgical compress was removed at enterotomy and the final diagnosis was gossypiboma. Because a retained surgical compress may lead to medicolegal problems, it is important to count the material used before and after a surgical procedure to reduce the risk of this problem. © 2009 Akbulut et al.; licensee Cases Network Ltd.