Saidi H, Mohammed U, Machoki M
Department of Surgery, Aga Khan Hospital, Nairobi, Kenya.
East Afr Med J. 2007 Feb;84(2):88-92. doi: 10.4314/eamj.v84i2.9509.
The causes of intra-abdominal masses associated with chronic abdominal pain range from the benign to malignant; common to bizarre and some raise major medical-legal issues. We present a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to presentation. Antecedent history of surgery and typical imaging features enabled a preoperative diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility of the men and women in the operating theatres and the vital role of correct instrument and sponge counts.
与慢性腹痛相关的腹腔内肿块病因多样，从良性到恶性不等；常见的、离奇的都有，有些还引发了重大的医疗法律问题。我们报告一例40岁非洲女性病例，该患者因慢性右侧腹痛就诊，右中腹部伴有肿块。她在就诊前一年做过剖宫产手术。既往手术史及典型的影像学特征使得术前诊断为手术纱布残留继发的腹部肿块。该病例说明了手术室医护人员也会犯错，以及正确清点器械和纱布数量的重要作用。
