Transgastric migration of retained intraabdominal surgical sponge: gossypiboma in the bulbus.
A 55-year-old hemiplegic woman with percutaneous endoscopic gastrostomy (PEG) was referred to our clinic for upper gastrointestinal system bleeding and for a high level of cholestatic enzymes. She had a medical history of cerebra vascular accident three years previously and cholecystectomy one year previously. We performed gastroscopy and saw a retained surgical sponge in the bulbus. After removal of the gossypiboma, endoscopic sclerotherapy was performed for the bleeding area at the bulbus. After the procedure, the upper gastrointestinal bleeding stopped and the high level of cholestatic enzymes returned to normal.
Erdil
Ahmet
A
Department of Gastroenterology, Gulhane Military Medical Academy, Ankara, Turkey.
Kilciler
Guldem
G
Ates
Yuksel
Y
Tuzun
Ahmet
A
Gulsen
Mustafa
M
Karaeren
Necmettin
N
Dagalp
Kemal
K
D034841:Abdominal Cavity / Q000473:pathology* / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D015503:Surgical Sponges / Q000009:adverse effects*