Kataria Sp, Garg M, Marwah S, Sethi D
Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Ann Med Health Sci Res. 2012 Jul;2(2):206-8. doi: 10.4103/2141-9248.105677.
Retained foreign bodies after surgery is a rare condition which can have medico-legal consequences. Foreign bodies forgotten in the abdomen include towels, artery forceps, pieces of broken instruments or irrigation sets, and rubber tubes. The most common surgically retained foreign body is the laparotomy sponge. Such materials cause foreign body reaction in the surrounding tissue. The complications caused by these foreign bodies are well known, but cases are rarely published because of medico-legal implications. We report a case of 41-year-old female admitted with features of intestinal obstruction and had a previous history of hysterectomy performed 2 months back at another hospital. Pathologists must be aware of this entity and its proper reporting as the cases are liable to go to court. Surgeons must recognize the risk factors that lead to a gossypiboma and take measures to prevent it.
手术后异物残留是一种罕见的情况，可能会产生医疗法律后果。遗留在腹部的异物包括毛巾、动脉钳、破碎器械碎片或冲洗装置以及橡胶管。最常见的手术遗留异物是剖腹手术海绵。这些物质会在周围组织中引起异物反应。这些异物引起的并发症是众所周知的，但由于医疗法律问题，相关病例很少发表。我们报告一例41岁女性，因肠梗阻症状入院，2个月前在另一家医院接受过子宫切除术。病理学家必须了解这种情况并进行恰当报告，因为这些病例可能会诉诸法庭。外科医生必须认识到导致棉芯瘤的危险因素并采取措施预防。
