Transmural migration of a surgical compress into the stomach after splenectomy: a case report.
A surgical compress retained in the abdominal cavity following surgery is a serious problem. Here, we describe a 33-year-old female who was admitted with abdominal pain, vomiting, no passage of gas or feces, and abdominal distension for 3 days. She had a splenectomy at another medical center 4 years previously. An upright plain abdominal film revealed small bowel obstruction with marked small bowel air-fluid levels. The physical examination revealed muscular guarding and rebound tenderness in the periumbilical region. Therefore, a laparotomy was performed. A surgical compress was removed at enterotomy and the final diagnosis was gossypiboma. Because a retained surgical compress may lead to medicolegal problems, it is important to count the material used before and after a surgical procedure to reduce the risk of this problem.
Akbulut
Sami
S
Department of Surgery, Diyarbakir Education and Research Hospital, Op. Dr. Seref Inaloz Caddesi 21400, Diyarbakir, Turkey. akbulutsami@gmail.com
Sevinc
Mert Mahsuni
MM
Basak
Fatih
F
Aksoy
Sefika
S
Cakabay
Bahri
B