1st Propedeutic Surgical Department, Aristotle's University of Thessaloniki, AHEPA University Hospital, Tzavella 2D Str, Pylaia, 55535 Thessaloniki, Greece.
Tech Coloproctol. 2011 Oct;15 Suppl 1:S67-9. doi: 10.1007/s10151-011-0735-z.
The term "gossypiboma" is used to describe any mass of non-absorbable surgical material. It is estimated that this complication appears every 1.000-10.000 procedures. It may lead to peritonitis, acute abdominal pain, intraperitoneal abscess, bowel obstruction, or perforation.
We present the case of an 80-year-old female patient admitted for chronic abdominal pain and fever. A CT scan and MRI were performed with a probable diagnosis of carcinoma or pelvic abscess. A surgical history of hysterectomy and repair of abdominal wall hernia with a mesh were mentioned.
Exploratory laparotomy revealed the presence of an irregular, soft mass with characteristics of an abscess located into the mesosigmoid. Hartman's sigmoidectomy was performed, and the patient's postoperative course was uneventful. The histopathological examination confirmed the diagnosis of gossypiboma.
Retained foreign intraperitoneal materials often represent diagnostic dilemmas, since symptomatology is no specific and the time elapsed from surgery is long. The policy of prevention's importance is highly appreciated.
“gossypiboma”一词用于描述任何不可吸收的外科材料肿块。据估计，这种并发症每 1000-10000 例手术中就会出现一次。它可能导致腹膜炎、急性腹痛、腹腔脓肿、肠梗阻或穿孔。
我们报告了一例 80 岁女性患者，因慢性腹痛和发热入院。进行了 CT 扫描和 MRI 检查，可能的诊断为癌或骨盆脓肿。患者有子宫切除术和腹部疝修补术（使用网片）的手术史。
剖腹探查显示存在一个不规则的、柔软的肿块，具有位于乙状结肠系膜内脓肿的特征。进行了 Hartman 乙状结肠切除术，患者术后恢复顺利。组织病理学检查证实了 gossypiboma 的诊断。
遗留的腹腔内异物材料常常代表诊断上的难题，因为症状不具有特异性，且从手术到现在的时间间隔很长。高度重视预防策略的重要性。
