A Case of a Retained Surgical Sponge Diagnosed by Colonoscopy.
- Author:
Ho Dong KIM
1
;
Jin Hong KIM
;
Choong Keun CHA
;
Deog Ki KIM
;
Jeong Yeob SONG
;
Il Hyun CHO
;
Hong Seok LIM
;
Jae Hong KIM
;
Kwang Hyun KO
;
Wook Whan KIM
;
Myung Wook KIM
Author Information
1. Internal Medicine, St. Garlos Hospital, Korea. jinhkim@netsgo.com
- Publication Type:Case Report
- Keywords:
Surgical sponge;
Fistula;
Colonoscopy;
Transmural migration
- MeSH:
Abscess;
Bacterial Infections;
Cecum;
Cesarean Section;
Colon;
Colon, Ascending;
Colonoscopy*;
Female;
Fistula;
Humans;
Laparotomy;
Pregnancy;
Surgical Sponges*;
Young Adult
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(6):515-519
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gossypibomas, retained surgical sponges are prone to creat adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of transmural migration can occur and we experienced a case which was diagnosed by colonoscopy. A 24 year-old female patient who had a history of Cesarean section 4 months ago came to the hospital with a complaint of intermittent right lower quadrant pain. A thread of surgical sponge was found by colonoscopy from ascending colon to cecum. At laparotomy, a transmurally migrating surgical sponge through the colonic fistula at the cecal base with surrounding abscess cavity was found. Adding a case report, the fate of intraperitoneal forgotten surgical sponges is reviewed.
