Lata Indu, Kapoor Deepa, Sahu Sandeep
Departments of Maternal and Reproductive Health, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Int J Crit Illn Inj Sci. 2011 Jul;1(2):157-60. doi: 10.4103/2229-5151.84805.
Gossypiboma or textiloma is used to describe a retained surgical swab in the body after an operation. Inadvertent retention of a foreign body in the abdomen often requires another surgery. This increases morbidity and mortality of the patient, cost of treatment, and medicolegal problems. We are reporting case of a 45-year-old woman who was referred from periphery with acute pain in abdomen. She had a surgical history of abdominal hysterectomy 3 years back, performed at another hospital. On clinical examination and investigation, twisted ovarian cyst was suspected. That is a cystic mass further confirmed by abdominal computerized tomography (CT). During laparotomy, the cyst wall was opened incidentally which lead to the drainage of a large amount of dense pus. In between pus, there was found retained surgical gauze that confirmed the diagnosis of gossypiboma.
棉球瘤或纱布瘤用于描述手术后留在体内的手术拭子。异物不慎留在腹部通常需要再次手术。这会增加患者的发病率和死亡率、治疗成本以及医疗法律问题。我们报告一例45岁女性病例，该患者从周边地区转诊而来，主诉腹部剧痛。她3年前在另一家医院接受过腹部子宫切除术。经临床检查和调查，怀疑为扭转卵巢囊肿。腹部计算机断层扫描（CT）进一步证实这是一个囊性肿块。剖腹手术期间，偶然打开囊肿壁，引出大量浓稠脓液。在脓液中发现了残留的手术纱布，从而确诊为棉球瘤。
