Nabais Inês, Tinoco Magalhães Rita, Gonçalves Correia Rita, Saraiva de Melo Nuno, Cruz Diogo
Internal Medicine, Hospital de Cascais Dr. José de Almeida, Cascais, PRT.
Physical Medicine and Rehabilitation, Centro de Medicina de Reabilitação de Alcoitão, Cascais, PRT.
Cureus. 2022 Jul 18;14(7):e26962. doi: 10.7759/cureus.26962. eCollection 2022 Jul.
A retained surgical item (RSI) refers to a surgical object (surgical sponges, needles, instruments, device fragments, irrigation sets, guidewires, clips, and rubber materials) accidentally left inside the patient at the end of a surgery or any other procedure. It is considered a that can have severe consequences for the patient, and that may lead to death. The use of checklists and the implementation of clinical and procedure protocols have attempted to reduce their incidence, but they continue to occur. Most RSI are discovered within three months, with a rare number of cases being diagnosed 3.5 years after the original procedure. In this report, we discuss the case of a 65-year-old woman who presented with weight loss and B symptoms for a month, a condition resulting from a 20-year RSI, a unique case given the time period between the previous surgery and its diagnosis.
手术遗留物品（RSI）是指在手术或任何其他操作结束时意外遗留在患者体内的手术物品（手术海绵、针、器械、设备碎片、冲洗装置、导丝、夹子和橡胶材料）。它被认为是一种可能对患者造成严重后果甚至可能导致死亡的情况。使用检查表以及实施临床和操作协议试图降低其发生率，但它们仍在发生。大多数手术遗留物品在三个月内被发现，极少数病例在原手术3.5年后才被诊断出来。在本报告中，我们讨论了一名65岁女性的病例，她出现体重减轻和B症状一个月，这是由一个长达20年的手术遗留物品导致的，鉴于上次手术与诊断之间的时间间隔，这是一个独特的病例。
