Diaouga Hamidou Soumana, Yacouba Maimouna Chaibou, Oumara Maina, Garba Rahamatou Madeleine, Idi Nafiou, Nayama Madi
Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger.
Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger.
Int J Surg Case Rep. 2023 Oct;111:108874. doi: 10.1016/j.ijscr.2023.108874. Epub 2023 Sep 28.
Textiloma or gossypiboma is a rare complication of pelvic surgery. It can mimic both, clinically, and radiologically an abscess, or a tumor, thus, making its diagnosis difficult and late. It can lead to a high morbidity and mortality rate for the patient and engages the surgeon's civil liability.
We report a case of textiloma following a myomectomy in a 42 year old patient treated in our department. Textiloma was diagnosed three years after myomectomy. Treatment consisted of a second laparotomy to remove the textiloma without complication.
Incidence of textiloma varies from 1/833 to 1/32.672 but more often encountered in African surgical practice. Systematic counts of instruments, sponges and needles is not yet usual in our operating room. Through the analysis of this case, we call on surgeons to be more vigilant in order to avoid this serious medical error.
The aim of this study was to describe the intraoperative errors that led to the occurrence of the textiloma, depict the diagnostic difficulties of textiloma, and the medico-legal implications in a tertiary hospital in Niger.
纺织瘤或棉籽瘤是盆腔手术的一种罕见并发症。在临床和放射学上，它既可能类似脓肿，也可能类似肿瘤，因此诊断困难且易延误。它会导致患者出现高发病率和死亡率，并引发外科医生的民事责任。
我们报告了在我院接受治疗的一名42岁子宫肌瘤切除术后发生纺织瘤的病例。纺织瘤在子宫肌瘤切除术后三年被诊断出来。治疗方法是进行第二次剖腹手术以切除纺织瘤，未出现并发症。
纺织瘤的发病率在1/833至1/32672之间，但在非洲外科手术中更常遇到。在我们的手术室中，尚未常规对器械、海绵和针头进行系统清点。通过对该病例的分析，我们呼吁外科医生提高警惕，以避免这种严重的医疗失误。
本研究的目的是描述导致纺织瘤发生的术中失误，阐述纺织瘤的诊断困难，以及在尼日尔一家三级医院中的法医学影响。
