Zhang Hao, Jiang Yanyong, Wang Qingqing, Liu Jun
Department of General Surgery, The First Hospital of Jiaxing, Jiaxing, Zhejiang, 314001, China.
Department of General Surgery, Puding County People's Hospital, Anshun, Guizhou, 562100, China.
World J Surg Oncol. 2017 Jan 6;15(1):6. doi: 10.1186/s12957-016-1082-3.
Gossypiboma is a serious and potentially dangerous medico-legal problem.
We present a case of lower abdominal gossypiboma that presented as an abdominal cystic mass mimicking ovarian teratoma. The mass and the adhesive intestine loop were en blocly resected. The cut section confirmed gossypiboma diagnosis.
The present experience and related literature results indicate that gossypiboma should always be kept in mind for the differential diagnosis of cystic soft-tissue mass detected in patients with a prior operation history despite its rarity and diagnosis difficulty. Once detected or suspected, appropriate surgical intervention should be performed promptly. Most importantly, preventing is much more crucial than curing in order to avoid this highly undesired potential complication.
医用纱布瘤是一个严重且具有潜在危险性的医疗法律问题。
我们报告一例下腹部医用纱布瘤病例，该病例表现为类似卵巢畸胎瘤的腹部囊性肿块。肿块与粘连的肠袢一并切除。切面证实为医用纱布瘤诊断。
目前的经验及相关文献结果表明，尽管医用纱布瘤罕见且诊断困难，但对于有手术史患者所检测到的囊性软组织肿块进行鉴别诊断时，应始终考虑到医用纱布瘤。一旦发现或怀疑，应立即进行适当的手术干预。最重要的是，为避免这种极不理想的潜在并发症，预防远比治疗更为关键。
