El Zemity Hazem, Hakami Naif, Alfaki Mohammed Abdelnour A, Khurizi Mohammed, Al-Zahrani Ahmad
Surgery, King Fahad Hospital, Albaha, SAU.
Cureus. 2020 Oct 13;12(10):e10930. doi: 10.7759/cureus.10930.
Gossypiboma is a term used to describe a pseudotumor caused by accidental retention of surgical swab or sponge in the body after surgery. The abdominal cavity is the most common site of retained surgical sponge. It is quite an infrequent surgical complication which is usually rarely reported because of the fear of medico-legal consequences. Here, we are reporting a case of a 26-years-old woman referred to our outpatient surgery clinic (OPD) from another hospital with complaint of intermittent abdominal pain, fever, and abdominal lump for 4 months following removal of IUD, which was attempted laparoscopically, and later converted to open laparotomy. She also had a history of cesarean section done one and half year ago in the same hospital. Clinical examination revealed a palpable abdominal mass in the para-umblical region. However, a computed tomography (CT) revealed a huge intra-abdominal mass. A diagnosis of intra-abdominal gossypiboma was suggested and the patient underwent exploratory laparotomy where the diagnosis was confirmed and the mass was excised.
医用棉球瘤是一个术语，用于描述手术后手术拭子或海绵意外遗留在体内所引起的假瘤。腹腔是手术中海绵遗留最常见的部位。这是一种相当罕见的手术并发症，由于担心医疗法律后果，通常很少被报道。在此，我们报告一例26岁女性患者，因取出宫内节育器后4个月出现间歇性腹痛、发热和腹部肿块，从另一家医院转诊至我院门诊手术诊所（OPD）。该手术最初尝试腹腔镜手术，后来转为开腹手术。她一年半前在同一家医院做过剖宫产手术。临床检查发现脐旁区域可触及腹部肿块。然而，计算机断层扫描（CT）显示腹腔内有一个巨大肿块。初步诊断为腹腔内医用棉球瘤，患者接受了剖腹探查术，术中确诊并切除了肿块。
