Wéry O, Bihin M
Rev Med Liege. 2014 Nov;69(11):590-3.
We report a case of complete transmural migration through the colic wall, followed by spontaneous defecation, of a surgical sponge left behind in the abdominal cavity (gossypiboma) during a vaginal hysterectomy with oophorectomy. The process results from encapsulation of the surgical sponge with fistulization through the colic wall. No functional damage followed this defecation because either the fistula closed early, or the sponge remained temporarily entrapped in a colic fold. The diagnosis was based on echography and computed tomography.
我们报告了一例在阴式子宫切除术加卵巢切除术过程中遗留在腹腔内的手术海绵（棉绒瘤）经结肠壁完全穿透性迁移，随后自行经直肠排出的病例。该过程是由于手术海绵被包裹并通过结肠壁形成瘘管所致。此次经直肠排出后未造成功能损害，这是因为瘘管要么早期闭合，要么海绵暂时被困在结肠皱襞中。诊断基于超声检查和计算机断层扫描。
