Manabe T, Goto H, Mizuno S, Kanematsu M, Hoshi H
Department of Radiology, Gifu University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1997 Apr;57(5):279-80.
A thread of surgical sponge was found by colonoscopy at the sigmoid colon wall in the tip of a granuloma. The patient was a 50-year-old woman who complained of diarrhea and had a history of Cesarean section and complete hysterectomy. A radiopaque thread that used to be part of the surgical sponge was demonstrated with plain pelvic X-ray films. Abdominal CT study revealed the gossypibioma including a radiopaque thread in front of the sacrum. The patient was admitted for endoscopic extraction. Upon endoscopic observation, no thread was found and the fistula had also disappeared. The surgical sponge was considered to have been spontaneously expelled from the fistula during the intervening 22-day period.
结肠镜检查发现乙状结肠壁肉芽肿尖端有一根手术海绵线。患者为一名50岁女性,主诉腹泻,有剖宫产和全子宫切除术史。盆腔X线平片显示有一根曾是手术海绵一部分的不透射线的线。腹部CT检查显示棉籽瘤,骶骨前方有一根不透射线的线。患者入院接受内镜下取出。内镜观察时,未发现线,瘘管也已消失。手术海绵被认为在这22天期间已从瘘管自行排出。