Govarjin Hojjat Molaei, Talebianfar Mohsen, Fattahi Farinaz, Akbari Mohammad Esmaeil
Department of General Surgery, Shohada Teaching Hospital, Shahid Beheshti University Of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2010 Jan;15(1):54-7.
Retaining of gauzes and surgical sponges in the abdomen is one of the most frequent medical errors usually manifesting as abscess or abdominocutaneus fistulas with no definite symptoms during lifetime. Here, we introduce a 35 year old woman with symptoms and signs of partial bowel obstruction and enterocutaneous fistulas caused by migration of retained gauze from abdominal cavity to terminal ileum, 9 months after cesarean section. This is called "Textiloma". There are several reports of gossypiboma worldwide but migration of retained gauze into intestine causing an enterocutaneous fistula is rare.
纱布和手术海绵遗留在腹腔内是最常见的医疗失误之一,通常表现为脓肿或腹壁瘘,患者生前无明确症状。在此,我们介绍一名35岁女性,剖宫产术后9个月,因腹腔内遗留纱布迁移至回肠末端,出现部分肠梗阻和肠皮肤瘘的症状和体征。这被称为“纺织瘤”。全世界有几篇关于棉纤维瘤的报道,但遗留纱布迁移至肠道导致肠皮肤瘘的情况很少见。