[Migration of surgical sponge retained at transvaginal hysterectomy into the bladder: a case report].
Urge incontinence and frequency, persisting despite oral anticholinergics and antibiotics for four months, brought a 72-year-old woman to our hospital. Plain abdominal X-ray followed by cystoscopy demonstrated a large stone (43 x 37 mm) in the bladder, and the patient underwent suprapubic cystotomy to remove the stone. The stone contained a surgical sponge, which was apparently left in situ at transvaginal hysterectomy two years previously. The sponge had most likely eroded the bladder wall and migrated into the cavity. We found a total of 17 cases reported in Japan of a surgical sponge migrating into the bladder. In particular, our case was associated with transvaginal surgery, while the other 16 cases involved transabdominal surgery.
Kato
K
K
Department of Urology, Red Cross Nagoya First Hospital.
Kawai
T
T
Suzuki
K
K
Sai
S
S
Murase
T
T
D000368:Aged; D000818:Animals; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D015503:Surgical Sponges / Q000009:adverse effects*; D001743:Urinary Bladder; D001744:Urinary Bladder Calculi / Q000209:etiology / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology*