Korean J Gastrointest Endosc.
2001 Dec;23(6):515-519.
A Case of a Retained Surgical Sponge Diagnosed by Colonoscopy
- Affiliations
-
- 1Internal Medicine, St. Garlos Hospital, Korea. jinhkim@netsgo.com
- 2Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.
- 3Department of General Surgery, Ajou University School of Medicine, Suwon, Korea.
Abstract
- Gossypibomas, retained surgical sponges are prone to creat adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of transmural migration can occur and we experienced a case which was diagnosed by colonoscopy. A 24 year-old female patient who had a history of Cesarean section 4 months ago came to the hospital with a complaint of intermittent right lower quadrant pain. A thread of surgical sponge was found by colonoscopy from ascending colon to cecum. At laparotomy, a transmurally migrating surgical sponge through the colonic fistula at the cecal base with surrounding abscess cavity was found. Adding a case report, the fate of intraperitoneal forgotten surgical sponges is reviewed.
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