Al-Jawad Mohammad, Almasri Zein, Akroum Joud, Matar Hilal, Dawod Hasan, Kawas Abdulmonem
University of Aleppo, Faculty of Medicine, Aleppo, Syria.
University of Aleppo, Faculty of Medicine, Aleppo, Syria.
Int J Surg Case Rep. 2024 Nov;124:110486. doi: 10.1016/j.ijscr.2024.110486. Epub 2024 Oct 19.
Textiloma, or gossypiboma, is a rare oversight in thoracic surgery involving retained surgical sponges, with the potential for serious complications like chronic pain and infection. This case highlights a 29-year-old woman with a transdiaphragmatic migrated gossypiboma following liver surgery.
A-29 years old woman presented with dyspnea, abdominal pain, and fever, with imaging revealing a suspected hepatic abscess. Surgical intervention identified a 15 cm gossypiboma in the thoracic cavity, previously misdiagnosed, leading to successful extraction and recovery.
Gossypibomas can cause significant complications, including abscess formation and respiratory distress, especially when migrating through the diaphragm. Diagnosis is challenging, often requiring advanced imaging techniques to identify the retained foreign body.
This case emphasizes the need for heightened awareness of gossypiboma in patients with unexplained post-surgical symptoms. Early detection and meticulous surgical practices are crucial to prevent serious complications associated with retained foreign bodies.
纺织瘤，即棉织物瘤，是胸外科手术中罕见的一种失误，涉及手术海绵遗留体内，有可能引发慢性疼痛和感染等严重并发症。本病例重点介绍了一名29岁女性，在肝脏手术后出现经膈肌迁移的棉织物瘤。
一名29岁女性出现呼吸困难、腹痛和发热症状，影像学检查显示疑似肝脓肿。手术干预发现胸腔内有一个15厘米的棉织物瘤，此前被误诊，最终成功取出并康复。
棉织物瘤可导致严重并发症，包括脓肿形成和呼吸窘迫，尤其是在经膈肌迁移时。诊断具有挑战性，通常需要先进的成像技术来识别遗留的异物。
本病例强调，对于术后出现不明症状的患者，需要提高对棉织物瘤的认识。早期发现和细致的手术操作对于预防与遗留异物相关的严重并发症至关重要。
