Thakur Ashokanand, Sharma Ankita
Department of Pediatric Surgery, Patna Medical College and Hospital, Patna, Bihar, India.
J Indian Assoc Pediatr Surg. 2024 Jan-Feb;29(1):78-80. doi: 10.4103/jiaps.jiaps_89_23. Epub 2024 Jan 12.
A 5-year-old male child presented with nonhealing wound on the left scapular region. He had a history of multiple abscesses 8 months back. Incision and drainage were done for all abscesses in the same sitting at another hospital. All wounds healed except one of the scapular regions. The wound was explored and there was large cotton gauze inside the wound. The common causes of nonhealing of wound are tuberculosis, malignancy, and immunodeficiency. However, iatrogenic foreign body is also an important cause and should be considered in differential diagnosis. Careful history, wound examination, and radiological investigations are an important tool for diagnosis of retained foreign bodies. The scientific term for the retained foreign body is gossypiboma or textiloma.
一名5岁男童因左肩胛区伤口不愈合前来就诊。他8个月前有多次脓肿病史。在另一家医院，所有脓肿在同一时间进行了切开引流。除肩胛区的一处伤口外，其他伤口均已愈合。对该伤口进行探查时，发现伤口内有一大块棉纱。伤口不愈合的常见原因包括结核病、恶性肿瘤和免疫缺陷。然而，医源性异物也是一个重要原因，在鉴别诊断时应予以考虑。详细的病史、伤口检查和影像学检查是诊断异物残留的重要手段。异物残留的科学术语是棉纤维瘤或纺织瘤。
