Basso Quinn, Walker Alfredo E
Acad Forensic Pathol. 2025 May 21:19253621251344363. doi: 10.1177/19253621251344363.
Gossypibomas, or retained surgical sponges, are rare and potentially life-threatening complications in modern medicine. They are most commonly the result of emergency abdominal or gynecological surgeries but can occur in any surgery where sponges are used intraoperatively. They can remain in the body for years following surgery and pose a risk for migration and subsequent complications. This case describes an abdominal gossypiboma in a 90-year-old woman, first identified more than a decade after a salpingo-oophorectomy. Migration into her colon eventually caused bowel obstruction and resulted in death. Intentional underreporting of gossypibomas is a major problem that limits knowledge of the condition and hinders their prevention.
医用海绵瘤，即残留手术海绵，是现代医学中罕见且可能危及生命的并发症。它们最常见于急诊腹部或妇科手术，但在术中使用海绵的任何手术中都可能发生。术后它们可能在体内留存数年，存在迁移及后续并发症的风险。本病例描述了一名90岁女性的腹部医用海绵瘤，在输卵管卵巢切除术后十多年才首次发现。海绵迁移至她的结肠最终导致肠梗阻并致死。故意少报医用海绵瘤是一个主要问题，这限制了对该病症的了解并阻碍了其预防。
