Department of Surgery Urology, Zabok General Hospital, Zabok, Croatia.
Pain Med. 2010 Dec;11(12):1777-9. doi: 10.1111/j.1526-4637.2010.00969.x. Epub 2010 Oct 28.
Retained surgical gauze left inside the patient during a surgical procedure is called textiloma or gossypiboma. Most often found in abdominal and pelvic cavities, retained gauze can cause a variety of symptoms, including fever, palpable mass and pain. Symptoms depend on the location (and possible migration) of the retained gauze and local tissue reaction (inflammatory or aseptic).
Case report.
We present a case of a patient with lumbar pain and constipation caused by surgical gauze mimicking a tumor, which was retained from previous abdominal surgery performed almost 40 years prior.
We discuss the diagnosis, treatment and prevention of retained surgical gauze.
Retained surgical gauze occurrences are not as rare as they are widely considered to be, and clinicians should be aware of that. In reality, retained gauze can be extremely difficult to diagnose, especially if a patient presents after a very long asymptomatic period.
手术过程中留在患者体内的医用纱布称为纱布瘤或棉纤维瘤。医用纱布通常在腹部和盆腔中发现，可引起多种症状，包括发热、可触及的肿块和疼痛。症状取决于纱布的位置（和可能的迁移）以及局部组织反应（炎症或无菌性）。
病例报告。
我们报告了一例因手术纱布引起的腰痛和便秘的患者，该纱布从前次腹部手术中遗留，该手术发生在近 40 年前。
我们讨论了手术纱布遗留的诊断、治疗和预防。
医用纱布遗留的情况并不像人们普遍认为的那样罕见，临床医生应该意识到这一点。实际上，纱布遗留的诊断非常困难，尤其是如果患者在无症状期非常长后出现症状。
