Suppr超能文献

在特征上模仿克罗恩病的纺织瘤:一例报告

Textiloma mimicking Crohn's disease in its features: A case report.

作者信息

Hammadieh Abdul Rahman, Alsabek Mhd Belal, Rustom Sara

机构信息

Department of Surgery, Almouwasat University Hospital, Damascus University, Faculty of Medicine, Damascus, Syria.

Department of Surgery, Syrian Private University, Faculty of Medicine, Damascus, Syria.

出版信息

Ann Med Surg (Lond). 2021 Jan 16;62:283-287. doi: 10.1016/j.amsu.2021.01.016. eCollection 2021 Feb.

Abstract

INTRODUCTION AND IMPORTANCE

Textiloma is a retained surgical item such as a sponge or gauze that is unintentionally left in the surgical field after the wound closure. Here, we present the first reported surgical gauze that penetrated the intestine, made a duodenal-ceca fistula and then stuck far away in the ileum. Mechanical obstruction didn't appear clinically or even in radiological investigations because of the fistula which provided the intestinal continuity.

CASE PRESENTATION

We report a 34-year-old man with a previous abdominal interventions complained of cramping, frequent vomiting and presence of undigested food in stool. The frequency of the bowel movement increased recently. Endoscopies, radiological investigations and pathological findings figure out a duodenal-ceca fistula with nonspecific inflammatory tissues in the intestinal biopsy. When we performed the abdomen surgery, retained gauze in the ileum was taken out and the duodenal-ceca fistula was fixed.

CLINICAL DISCUSSION

Gauze or sponge that is forgotten in the surgical field called gossypiboma, textiloma, gauzoma or cottonoid. It could present with various complaints; as an acute or chronic problem, clear or ambiguous symptoms. It could reside in a space; extend across a gap, migrate through a tissue, or even make a fistula between lumina like in our case.

CONCLUSION

Textiloma could change pre-operative diagnosis, intra-operative techniques, postoperative follow-up plan and prognosis. This is the first report proves its ability to mimic inflammatory diseases that penetrate two different lumina and perform fistula. So it should be written in the list of any differential diagnosis when the patient has a previous procedure or surgery.

摘要

引言与重要性

纺织瘤是一种残留的手术物品,如海绵或纱布,在伤口缝合后意外留在手术区域。在此,我们报告首例穿透肠道、形成十二指肠-盲肠瘘并随后卡在回肠远处的手术纱布。由于瘘管维持了肠道的连续性,临床上甚至在影像学检查中均未出现机械性梗阻。

病例介绍

我们报告一名34岁男性,既往有腹部手术史,主诉腹部绞痛、频繁呕吐及粪便中有未消化食物。近期排便次数增加。内镜检查、影像学检查及病理结果显示为十二指肠-盲肠瘘,肠道活检有非特异性炎性组织。我们进行腹部手术时,取出了回肠内残留的纱布并修复了十二指肠-盲肠瘘。

临床讨论

手术区域遗留的纱布或海绵被称为棉纤维瘤、纺织瘤、纱布瘤或棉片瘤。它可能表现出各种症状,可为急性或慢性问题,症状明确或不明确。它可能存在于一个腔隙中,跨越间隙,穿过组织迁移,甚至像我们的病例一样在管腔之间形成瘘管。

结论

纺织瘤可改变术前诊断、术中技术、术后随访计划及预后。这是首例证明其能够模拟穿透两个不同管腔并形成瘘管的炎性疾病的报告。因此,当患者既往有手术史时,应将其列入任何鉴别诊断清单中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/966c/7841073/e7ce6726e877/gr1.jpg

相似文献

1
Textiloma mimicking Crohn's disease in its features: A case report.
Ann Med Surg (Lond). 2021 Jan 16;62:283-287. doi: 10.1016/j.amsu.2021.01.016. eCollection 2021 Feb.
3
Gossypiboma/textiloma mimicking as tumour recurrence.
J Pak Med Assoc. 2014 Jun;64(6):708-10.
4
Intrathoracic gossypiboma presenting 47 years later as a purulent fistula: a case report.
Surg Case Rep. 2022 Jun 24;8(1):123. doi: 10.1186/s40792-022-01479-6.
7
Retained intra-abdominal surgical sponge causing ileocolic fistula diagnosed by colonoscopy.
Int J Surg Case Rep. 2020;67:62-65. doi: 10.1016/j.ijscr.2020.01.018. Epub 2020 Jan 23.
8
A retained surgical sponge (gossypiboma) mimicking a paraspinal abscess.
Br J Neurosurg. 2007 Jun;21(3):307-8. doi: 10.1080/02688690701367701.
9
A 12-year-old chronic form textiloma after revision surgery for infected spinal instrumentation.
Eur J Orthop Surg Traumatol. 2012 Nov;22 Suppl 1:53-6. doi: 10.1007/s00590-011-0932-5. Epub 2011 Dec 27.
10
Gauze for concern: A Case Report and systematic review of delayed presentation of paraspinal textiloma.
J Clin Orthop Trauma. 2022 Aug 14;32:101967. doi: 10.1016/j.jcot.2022.101967. eCollection 2022 Sep.

引用本文的文献

1
Gossypiboma left behind in a cesarean section ended up with a failed laparotomic excision, which demanded another laparotomy to remove it: a rare case report.
Ann Med Surg (Lond). 2023 Sep 5;85(11):5675-5678. doi: 10.1097/MS9.0000000000001275. eCollection 2023 Nov.
2
Abdominal textiloma mimicking as gastrointestinal stromal tumor: A case report.
Ann Med Surg (Lond). 2021 Sep 4;70:102795. doi: 10.1016/j.amsu.2021.102795. eCollection 2021 Oct.

本文引用的文献

1
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
3
Successful management of a colo-duodenal fistula in a patient with Crohn's disease using a double lumen gastro-jejunostomy tube.
Case Rep Gastroenterol. 2014 May 14;8(2):162-8. doi: 10.1159/000363374. eCollection 2014 May.
4
Imaging of gossypibomas: pictorial review.
AJR Am J Roentgenol. 2009 Dec;193(6 Suppl):S94-101. doi: 10.2214/AJR.07.7132.
5
Thoracic textilomas after myocardial revascularisation: typical CT findings.
Br J Radiol. 2010 Jan;83(985):4-7. doi: 10.1259/bjr/68800282. Epub 2009 May 11.
6
Textiloma: a case of foreign body mimicking a spinal mass.
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):626-9. doi: 10.1007/s00586-006-0136-6. Epub 2006 May 31.
7
Risk factors for retained instruments and sponges after surgery.
N Engl J Med. 2003 Jan 16;348(3):229-35. doi: 10.1056/NEJMsa021721.
8
Gossypiboma--"a surgeon's legacy": report of a case and review of the literature.
Dis Colon Rectum. 2002 Jan;45(1):119-20. doi: 10.1007/s10350-004-6124-1.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验