A bizarre abdominal cystic lesion.
In spite of careful intraoperative precautions and gauze counts, mistakes can still occur during surgery. In the case reported, a retained gauze leaved during a surgical approach for removing a solid-cystic papillary tumor localized in the pancreatic tail, caused both persistent abdominal discomfort and the presence of an abdominal cystic lesion at imaging techniques. When a previous operative history is present, a foreign body should be taken into account in the differential diagnosis of a patient with an intra-abdominal cystic mass. Finally, radio-opaque marker should be routinely used by surgeons in order to reach a correct diagnosis in operated patients having retained gauze.
Zucchini
Giorgia
G
Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna. Bologna, Italy.
Pezzilli
Raffaele
R
Ricci
Claudio
C
Casadei
Riccardo
R
Santini
Donatella
D
Calculli
Lucia
L
Corinaldesi
Roberto
R
D000005:Abdomen / Q000601:surgery; D034841:Abdominal Cavity / Q000000981:diagnostic imaging / Q000473:pathology*; D000231:Adenocarcinoma, Papillary / Q000601:surgery; D000328:Adult; D003560:Cysts / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010190:Pancreatic Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D011860:Radiography, Abdominal