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Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report.

Connelly CL, Archdeacon MT - Patient Saf Surg (2011)

Bottom Line: Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals.Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound.Revision surgery was required in order to remove the retained object, and the patient had no further complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Cincinnati, P,O, Box 670212, Cincinnati, OH, 45267-0212, USA. archdemt@ucmail.uc.edu.

ABSTRACT
Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

No MeSH data available.


Related in: MedlinePlus

Postoperative axial and coronal pelvic CT scans showing an irregular, hyperdensity (white arrow) in the left iliacus muscle.
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Figure 5: Postoperative axial and coronal pelvic CT scans showing an irregular, hyperdensity (white arrow) in the left iliacus muscle.

Mentions: A standard postoperative CT of the pelvis was obtained as is routine at our institution. This revealed a concentric reduction of the hip joint without intra-articular implant penetration. However, the attending orthopaedic surgeon noted an ipsilateral irregularly shaped hyperdensity in the left iliacus muscle and operative bed. The discrepancy was measured at 250-300 Hounsfield units (HU) and appeared without significant associated streak artifact (Figure 4 and Figure 5, white arrows). It was not present on the preoperative CT scan and was not detectable on any of the preoperative or postoperative plain radiographs. Thus, suspicion was raised for a retained foreign body versus an atypical hematoma. Based on the imaging characteristics, a retained foreign body was favored and exploratory revision surgery was recommended.


Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report.

Connelly CL, Archdeacon MT - Patient Saf Surg (2011)

Postoperative axial and coronal pelvic CT scans showing an irregular, hyperdensity (white arrow) in the left iliacus muscle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3117682&req=5

Figure 5: Postoperative axial and coronal pelvic CT scans showing an irregular, hyperdensity (white arrow) in the left iliacus muscle.
Mentions: A standard postoperative CT of the pelvis was obtained as is routine at our institution. This revealed a concentric reduction of the hip joint without intra-articular implant penetration. However, the attending orthopaedic surgeon noted an ipsilateral irregularly shaped hyperdensity in the left iliacus muscle and operative bed. The discrepancy was measured at 250-300 Hounsfield units (HU) and appeared without significant associated streak artifact (Figure 4 and Figure 5, white arrows). It was not present on the preoperative CT scan and was not detectable on any of the preoperative or postoperative plain radiographs. Thus, suspicion was raised for a retained foreign body versus an atypical hematoma. Based on the imaging characteristics, a retained foreign body was favored and exploratory revision surgery was recommended.

Bottom Line: Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals.Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound.Revision surgery was required in order to remove the retained object, and the patient had no further complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Cincinnati, P,O, Box 670212, Cincinnati, OH, 45267-0212, USA. archdemt@ucmail.uc.edu.

ABSTRACT
Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

No MeSH data available.


Related in: MedlinePlus