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子宫肌瘤切除术后的罕见并发症:一枚被遗忘的腹部拭子的绞痛性移位。

Unusual Complication following a Myomectomy: Colic Migration of a Forgotten Abdominal Swab.

作者信息

Tchangai Boyodi, Alassani Fousseni, Tchaou Mazamesso

机构信息

Department of Surgery, Teaching Hospital of Sylvanus Olympio, Lome, Togo.

Department of Radiology, Teaching Hospital of Sylvanus Olympio, Lome, Togo.

出版信息

Case Rep Surg. 2017;2017:3962506. doi: 10.1155/2017/3962506. Epub 2017 Jan 26.

Abstract

Surgical sponges are the most common retained foreign bodies following surgery. The morbidity of this condition is illustrated herein with the case of a 36-year-old female patient with a history of myomectomy 5 months before her admission into our unit for enterocutaneous fistula. Although imaging and etiological investigations were made, diagnosis was carried out only by laparotomy. The foreign body found was an abdominal swab that migrated from abdominal cavity to the colon causing several intestinal injuries. The lack of specific clinical signs and the death of the patient raise the necessity of preventing these complications that involve the surgeon liability.

摘要

手术海绵是术后最常见的遗留异物。本文通过一名36岁女性患者的病例来说明这种情况的发病率,该患者在因肠皮肤瘘入住我们科室前5个月有子宫肌瘤切除术史。尽管进行了影像学和病因学检查,但仅通过剖腹手术才得以确诊。发现的异物是一块从腹腔迁移至结肠的腹部拭子,导致多处肠道损伤。缺乏特异性临床体征以及患者死亡凸显了预防这些涉及外科医生责任的并发症的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6717/5299178/d1e232896170/CRIS2017-3962506.001.jpg

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