Gossypiboma: complete transmural migration of retained surgical sponge causing small bowel obstruction.
The authors report a case of recurrent intestinal obstruction due to complete transmural migration of a retained surgical sponge into the small intestine. A 41-year-old woman presented with recurrent episodes of intestinal obstruction following a previous laparotomy in a private hospital for some gynaecologic procedures. Relaparotomy revealed a mass within the ileum which was resected and, when dissected out, was found to be a completely intraluminal retained surgical sponge. Although rare in daily practice, a retained intraperitoneal foreign body should be remotely considered in patients who present with new abdominal symptoms complex following a history of previous laparatomy.
University of Ibadan, University College Hospital, Ibadan, Nigeria. toogundiran@yahoo.co.uk
Temidayo
T
Ogundiran
Omobolaji
O
Ayandipo
Adenike
A
Adeniji-Sofoluwe
Gabriel
G
Ogun
Olugboyega
O
Oyewole
Adeyinka
A
Ademola
D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D015503:Surgical Sponges