Endara Santiago A, Dávalos Gerardo A, Zamora E Elizabeth, Redrobán Ligia M, Molina Gabriel A
Department of Surgery, Division of Cardiothoracic Surgery, Hospital Metropolitano, Quito, Ecuador.
Department of Internal Medicine, Division of Radiology, Hospital Metropolitano, Quito, Ecuador.
J Surg Case Rep. 2023 Jun 17;2023(6):rjad328. doi: 10.1093/jscr/rjad328. eCollection 2023 Jun.
During any surgical procedure, complications may arise, some of which are fortuitous, whereas others, unfortunately, occur because of errors of the surgical team. Fortunately, most are minor and do not affect the patient's recovery, but others can cause severe morbidity and even mortality. A retained cotton or gauze surgical sponge inadvertently left in the body during an operation is known as a gossypiboma. This dreadful oversight is a marked complication that can cause serious postoperative complications, a severe economic burden on the healthcare system, and many medicolegal implications. We report the case of a 30-year-old male, who suffered a spinal fracture which was repaired through an anterior fixation approach 12 years ago in a local state hospital without complications. Suddenly, he presented with chest pain and cough, and sought medical attention. An 8 × 5 × 8 cm low-density heterogeneous mass was discovered on his chest; after successful surgery, a gossypiboma formed by several gauzes without radiopaque markers was discovered.
在任何外科手术过程中，都可能出现并发症，其中一些是偶然发生的，而不幸的是，其他一些则是由于手术团队的失误而发生的。幸运的是，大多数并发症都很轻微，不会影响患者的康复，但其他一些并发症可能会导致严重的发病率甚至死亡率。手术过程中无意中遗留在体内的棉球或纱布手术海绵被称为棉芯瘤。这种可怕的疏忽是一种明显的并发症，可导致严重的术后并发症、给医疗系统带来沉重的经济负担以及许多法医学问题。我们报告了一名30岁男性的病例，他12年前在当地一家州立医院因脊柱骨折接受了前路固定手术，术后无并发症。突然，他出现胸痛和咳嗽，并寻求医疗帮助。胸部发现一个8×5×8厘米的低密度不均匀肿块；手术成功后，发现了一个由几块没有不透射线标记的纱布形成的棉芯瘤。
