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Inflammatory gossypiboma in young female athlete.

Lee DH - J Exerc Rehabil (2015)

Bottom Line: We present a case of young female athlete patient with right lower quadrant (RLQ) pain for 1 month, caused by surgical gauze which was retained from previous cesarean delivery performed 24 yr ago.Patient with retained surgical gauze can be asymptomatic for a long period.In our case, laparoscopy was used as the diagnostic and therapeutic tool.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Yeungnam University School of Medicine, Daegu, Korea.

ABSTRACT
Retained surgical gauze that was left inside the patient during a surgical procedure is called gossypiboma or textiloma. It is a rare complication of surgery commonly seen after abdominal operations. The symptoms of gossypiboma are non-specific, such as pain, palpable mass and fever, which make clinical diagnosis difficult. We present a case of young female athlete patient with right lower quadrant (RLQ) pain for 1 month, caused by surgical gauze which was retained from previous cesarean delivery performed 24 yr ago. Patient with retained surgical gauze can be asymptomatic for a long period. In our case, laparoscopy was used as the diagnostic and therapeutic tool. This report discusses the approach to, and manifestations of gossypiboma which presents a long asymptomatic period.

No MeSH data available.


Related in: MedlinePlus

Pathologic examination reveals a multiple fragments of tissue and gauze-like material (31.0 g, 8.5 × 6.5 cm in aggregates). The tissue shows yellowish fibrotic appearance.
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f3-jer-11-4-236: Pathologic examination reveals a multiple fragments of tissue and gauze-like material (31.0 g, 8.5 × 6.5 cm in aggregates). The tissue shows yellowish fibrotic appearance.

Mentions: With the high index of suspicion, diagnostic laparoscopy was done. The anterior surface of uterus is conglomerated with pelvic mass. The pelvic mass was looked like tab-gauze and conglomerated with omentum, uterus and bladder (Fig. 3). Dissecting the mass was very careful, but because of severe adherence, bladder wall was lacerated about 1cm. The gauze was removed and bladder repair was done. A foley cathter was inserted during an admission period and the patient was discharged on 7th postoperative day keeping foley cathter. The foley catheter was removed on 15th postoperative day after cystography done.


Inflammatory gossypiboma in young female athlete.

Lee DH - J Exerc Rehabil (2015)

Pathologic examination reveals a multiple fragments of tissue and gauze-like material (31.0 g, 8.5 × 6.5 cm in aggregates). The tissue shows yellowish fibrotic appearance.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4548682&req=5

f3-jer-11-4-236: Pathologic examination reveals a multiple fragments of tissue and gauze-like material (31.0 g, 8.5 × 6.5 cm in aggregates). The tissue shows yellowish fibrotic appearance.
Mentions: With the high index of suspicion, diagnostic laparoscopy was done. The anterior surface of uterus is conglomerated with pelvic mass. The pelvic mass was looked like tab-gauze and conglomerated with omentum, uterus and bladder (Fig. 3). Dissecting the mass was very careful, but because of severe adherence, bladder wall was lacerated about 1cm. The gauze was removed and bladder repair was done. A foley cathter was inserted during an admission period and the patient was discharged on 7th postoperative day keeping foley cathter. The foley catheter was removed on 15th postoperative day after cystography done.

Bottom Line: We present a case of young female athlete patient with right lower quadrant (RLQ) pain for 1 month, caused by surgical gauze which was retained from previous cesarean delivery performed 24 yr ago.Patient with retained surgical gauze can be asymptomatic for a long period.In our case, laparoscopy was used as the diagnostic and therapeutic tool.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Yeungnam University School of Medicine, Daegu, Korea.

ABSTRACT
Retained surgical gauze that was left inside the patient during a surgical procedure is called gossypiboma or textiloma. It is a rare complication of surgery commonly seen after abdominal operations. The symptoms of gossypiboma are non-specific, such as pain, palpable mass and fever, which make clinical diagnosis difficult. We present a case of young female athlete patient with right lower quadrant (RLQ) pain for 1 month, caused by surgical gauze which was retained from previous cesarean delivery performed 24 yr ago. Patient with retained surgical gauze can be asymptomatic for a long period. In our case, laparoscopy was used as the diagnostic and therapeutic tool. This report discusses the approach to, and manifestations of gossypiboma which presents a long asymptomatic period.

No MeSH data available.


Related in: MedlinePlus