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Paravesical gossypiboma following inguinal herniorrhaphy: Laparoscopic retrieval.

Huang CC, Huang CJ, Hsieh JS - J Minim Access Surg (2015 Jul-Sep)

Bottom Line: Laboratory and imaging studies excluded any significant lesion in the urological organs.Abdominal CT and clinical suspicion are helpful for diagnosis.Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan.

ABSTRACT
Retained surgical sponge (gossypiboma) following an inguinal herniorrhaphy is a rare condition and may cause medicolegal problems. Differential diagnosis for the lesion should be made meticulously. We report a case of a 45-year-old man who had a herniorrhaphy about 8 years previously. He presented one episode of painless gross hematuria. Laboratory and imaging studies excluded any significant lesion in the urological organs. Abdominal CT scan demonstrated a heterogeneous neoplasm of 4 cm in size in the left paravesical area that was retrieved laparoscopically. Abdominal CT and clinical suspicion are helpful for diagnosis. Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.

No MeSH data available.


Related in: MedlinePlus

Abdominal CT showing a round, heterogeneous and low dense mass with a thin, hyperdense capsule at the left paravesical area
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Figure 1: Abdominal CT showing a round, heterogeneous and low dense mass with a thin, hyperdense capsule at the left paravesical area

Mentions: A 45-year-old man presented with painless gross hematuria for 2 days. There was no previous history of dysuria. The patient had undergone a left inguinal herniorrhaphy 8 years earlier and an operative scar of 4 cm in length was left. The abdomen was soft and flat. Laboratory findings were all within the normal range. Abdominal radiography and echography revealed no radiopaque lesion in the urological organs. Further evaluation with CT scan demonstrated a well-defined encapsulated mass with heterogeneous density located at the left paravesical area [Figure 1]. A diagnosis of soft tissue neoplasm was made.


Paravesical gossypiboma following inguinal herniorrhaphy: Laparoscopic retrieval.

Huang CC, Huang CJ, Hsieh JS - J Minim Access Surg (2015 Jul-Sep)

Abdominal CT showing a round, heterogeneous and low dense mass with a thin, hyperdense capsule at the left paravesical area
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499932&req=5

Figure 1: Abdominal CT showing a round, heterogeneous and low dense mass with a thin, hyperdense capsule at the left paravesical area
Mentions: A 45-year-old man presented with painless gross hematuria for 2 days. There was no previous history of dysuria. The patient had undergone a left inguinal herniorrhaphy 8 years earlier and an operative scar of 4 cm in length was left. The abdomen was soft and flat. Laboratory findings were all within the normal range. Abdominal radiography and echography revealed no radiopaque lesion in the urological organs. Further evaluation with CT scan demonstrated a well-defined encapsulated mass with heterogeneous density located at the left paravesical area [Figure 1]. A diagnosis of soft tissue neoplasm was made.

Bottom Line: Laboratory and imaging studies excluded any significant lesion in the urological organs.Abdominal CT and clinical suspicion are helpful for diagnosis.Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan.

ABSTRACT
Retained surgical sponge (gossypiboma) following an inguinal herniorrhaphy is a rare condition and may cause medicolegal problems. Differential diagnosis for the lesion should be made meticulously. We report a case of a 45-year-old man who had a herniorrhaphy about 8 years previously. He presented one episode of painless gross hematuria. Laboratory and imaging studies excluded any significant lesion in the urological organs. Abdominal CT scan demonstrated a heterogeneous neoplasm of 4 cm in size in the left paravesical area that was retrieved laparoscopically. Abdominal CT and clinical suspicion are helpful for diagnosis. Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.

No MeSH data available.


Related in: MedlinePlus