棉籽瘤：残留手术海绵完全经壁迁移导致小肠梗阻。
Gossypiboma: complete transmural migration of retained surgical sponge causing small bowel obstruction.
作者信息
Ogundiran Temidayo, Ayandipo Omobolaji, Adeniji-Sofoluwe Adenike, Ogun Gabriel, Oyewole Olugboyega, Ademola Adeyinka
机构信息
University of Ibadan, University College Hospital, Ibadan, Nigeria.
出版信息
BMJ Case Rep. 2011 Jun 29;2011:bcr0420114073. doi: 10.1136/bcr.04.2011.4073.
Abstract
The authors report a case of recurrent intestinal obstruction due to complete transmural migration of a retained surgical sponge into the small intestine. A 41-year-old woman presented with recurrent episodes of intestinal obstruction following a previous laparotomy in a private hospital for some gynaecologic procedures. Relaparotomy revealed a mass within the ileum which was resected and, when dissected out, was found to be a completely intraluminal retained surgical sponge. Although rare in daily practice, a retained intraperitoneal foreign body should be remotely considered in patients who present with new abdominal symptoms complex following a history of previous laparatomy.
摘要
作者报告了一例因残留手术海绵完全透壁迁移至小肠导致复发性肠梗阻的病例。一名41岁女性在一家私立医院接受了一些妇科手术后，因之前的剖腹手术出现复发性肠梗阻。再次剖腹手术发现回肠内有一个肿块，切除后发现是一个完全位于肠腔内的残留手术海绵。尽管在日常实践中很少见，但对于有剖腹手术史且出现新的复杂腹部症状的患者，应考虑腹腔内有残留异物的可能性。
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