Korean J Obstet Gynecol.  2012 May;55(5):366-369. 10.5468/KJOG.2012.55.5.366.

A case of unrecognized foreign body in the abdomen mimicking benign ovarian cyst

Affiliations
  • 1Department of Obstetrics and Gynecology, Hallym University College of Medicine, Seoul, Korea. vth2000@naver.com

Abstract

The most commonly detected foreign body in the abdominal cavity is surgical gauze or sponge, which is followed by intrauterine devices penetrating the uterine cavity. However, to the best of our knowledge, there has been no case report of a foreign body in the abdomen misdiagnosed as an ovarian cyst, in the literature. Thus, we report 1 case of a 41-year-old woman with an umbrella handle in the abdominal cavity, which was misdiagnosed as the ovarian cyst.

Keyword

Foreign body; Ovarian cyst; Umbrella handle

MeSH Terms

Abdomen
Abdominal Cavity
Adult
Female
Foreign Bodies
Humans
Intrauterine Devices
Ovarian Cysts
Porifera

Figure

  • Fig. 1 Transvaginal songraphy reveals a 3.7 × 2.9 cm sized hypoechoic cyst shadow with no septation and calcification.

  • Fig. 2 Laparoscopy shows grey-colored, solid foreign body in the pelvic cavity.

  • Fig. 3 Umbrella handle removed from patient's abdomen.


Reference

1. Yamato M, Ido K, Izutsu M, Narimatsu Y, Hiramatsu K. CT and ultrasound findings of surgically retained sponges and towels. J Comput Assist Tomogr. 1987. 11:1003–1006.
2. Botet del Castillo FX, López S, Reyes G, Salvador R, Llauradó JM, Peñalva F, et al. Diagnosis of retained abdominal gauze swabs. Br J Surg. 1995. 82:227–228.
3. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003. 348:229–235.
4. Moyle H, Hines OJ, McFadden DW. Gossypiboma of the abdomen. Arch Surg. 1996. 131:566–568.
5. Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res. 2007. 138:170–174.
6. Yildirim S, Tarim A, Nursal TZ, Yildirim T, Caliskan K, Torer N, et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg. 2006. 391:390–395.
7. Lauwers PR, Van Hee RH. Intraperitoneal gossypibomas: the need to count sponges. World J Surg. 2000. 24:521–527.
8. Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma). Asian J Surg. 2005. 28:109–115.
9. Kalovidouris A, Kehagias D, Moulopoulos L, Gouliamos A, Pentea S, Vlahos L. Abdominal retained surgical sponges: CT appearance. Eur Radiol. 1999. 9:1407–1410.
10. Rajput A, Loud PA, Gibbs JF, Kraybill WG. Diagnostic challenges in patients with tumors: case 1. Gossypiboma (foreign body) manifesting 30 years after laparotomy. J Clin Oncol. 2003. 21:3700–3701.
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