Department of General Surgery, Medical Park Gaziantep Hospital, Mucahitler mah, 52063 sk, No:2 Sehitkamil, Gaziantep, 27090, Turkey.
World J Surg Oncol. 2012 Jul 9;10:139. doi: 10.1186/1477-7819-10-139.
Primary visceral malignant fibrous histiocytoma (MFH) is a rare disease, and few cases have been reported in the English literature. However, retained foreign bodies in the abdomen after surgical procedures are important causes of intra-abdominal infections. For legal and ethical reasons, there are few publications in the literature. In this article, we describe for the first time a case of malign abdominal fibrous histiocytoma associated with a surgical sponge forgotten in the abdominal cavity a long time ago.
A 64-year-old male presented to our surgical department with cachexia, abdominal pain, distention and pyrexia of unknown origin. He had a medical history of abdominal surgery for peptic ulcer perforation 32 years ago. Clinical examination revealed fever with a distended and painful abdominal wall. Radiological imaging of the abdomen showed multiple heterogeneous masses in one large cystic cavityalmost completely filling the abdomen. The patient underwent a laparotomy, and interestingly, opening the cyst revealed retained surgical gauze (RSG). The origin of the tumor was the visceral peritoneum, and it was excised totally.
Primary intra-abdominal MFH can present as a complication of long-lasting RSG. Therefore, clinicians must remember this while establishing the differential diagnosis for patients with a history of previous abdominal surgery and presenting with symptoms associated with both the tumor and systemic inflammatory response.
原发性内脏恶性纤维组织细胞瘤（MFH）是一种罕见疾病，英文文献中报道的病例较少。然而，腹部手术后遗留的异物是导致腹腔内感染的重要原因。由于法律和伦理原因，文献中发表的病例较少。本文首次描述了一例与很久以前遗留在腹腔内的手术海绵相关的恶性腹腔纤维组织细胞瘤。
一名 64 岁男性因消瘦、腹痛、腹胀和不明原因发热就诊于我院外科。他有 32 年前因消化性溃疡穿孔行腹部手术的病史。临床检查发现发热，腹壁膨胀伴疼痛。腹部影像学检查显示一个大的囊性腔中有多个异质性肿块，几乎完全充满了整个腹部。患者接受了剖腹手术，有趣的是，打开囊肿时发现了遗留的手术纱布（RSG）。肿瘤起源于内脏腹膜，并被完全切除。
原发性腹腔内 MFH 可作为长期 RSG 的并发症出现。因此，对于有腹部手术史且出现与肿瘤和全身炎症反应相关症状的患者，临床医生在建立鉴别诊断时必须记住这一点。
