Spontaneous Intraluminal Migration of Gossypiboma

Retained surgical mops following surgery is an avoidable but serious complication. They are seldom reported because of medicolegal implications but clinicians need to be aware about varied presentations of this entity to avoid unnecessary morbidity. We report a case of a 28-year-old woman who presen...

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Main Author: Sebastian Saji
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2011-01-01
Series:Journal of Digestive Endoscopy
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700256
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author Sebastian Saji
author_facet Sebastian Saji
author_sort Sebastian Saji
collection DOAJ
description Retained surgical mops following surgery is an avoidable but serious complication. They are seldom reported because of medicolegal implications but clinicians need to be aware about varied presentations of this entity to avoid unnecessary morbidity. We report a case of a 28-year-old woman who presented with chronic diarrhea and lower abdominal pain due to intraluminal migration of the surgical mop into the sigmoid colon 6 months after myomectomy of the uterus. The possibility of gossypiboma was suggested by the contrast-enhanced CT scan of the abdomen. Flexible sigmoidosocpy showed the remnants of the mop inside the lumen of the sigmoid colon. She underwent laparotomy and removal of the surgical mop and became completely asymptomatic. Though gossypiboma is rare clinicians should keep it in mind in patients who had undergone laparotomy previously. (J Dig Endosc2011;2(1):22-24)
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spelling doaj.art-9f5ffdfa43684d9694b971e3930549a62022-12-22T00:59:07ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502011-01-01020102202410.1055/s-0039-1700256Spontaneous Intraluminal Migration of GossypibomaSebastian Saji0Department of Gastroenterology, Thrissur Medical College, Kerala IndiaRetained surgical mops following surgery is an avoidable but serious complication. They are seldom reported because of medicolegal implications but clinicians need to be aware about varied presentations of this entity to avoid unnecessary morbidity. We report a case of a 28-year-old woman who presented with chronic diarrhea and lower abdominal pain due to intraluminal migration of the surgical mop into the sigmoid colon 6 months after myomectomy of the uterus. The possibility of gossypiboma was suggested by the contrast-enhanced CT scan of the abdomen. Flexible sigmoidosocpy showed the remnants of the mop inside the lumen of the sigmoid colon. She underwent laparotomy and removal of the surgical mop and became completely asymptomatic. Though gossypiboma is rare clinicians should keep it in mind in patients who had undergone laparotomy previously. (J Dig Endosc2011;2(1):22-24)http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700256gossypibomasurgical mopsigmoidoscopyabdominal masschronic diarrhea
spellingShingle Sebastian Saji
Spontaneous Intraluminal Migration of Gossypiboma
Journal of Digestive Endoscopy
gossypiboma
surgical mop
sigmoidoscopy
abdominal mass
chronic diarrhea
title Spontaneous Intraluminal Migration of Gossypiboma
title_full Spontaneous Intraluminal Migration of Gossypiboma
title_fullStr Spontaneous Intraluminal Migration of Gossypiboma
title_full_unstemmed Spontaneous Intraluminal Migration of Gossypiboma
title_short Spontaneous Intraluminal Migration of Gossypiboma
title_sort spontaneous intraluminal migration of gossypiboma
topic gossypiboma
surgical mop
sigmoidoscopy
abdominal mass
chronic diarrhea
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700256
work_keys_str_mv AT sebastiansaji spontaneousintraluminalmigrationofgossypiboma