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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 6/2010

01-12-2010 | Short Communication

Textiloma, a rare pelvic tumor

Authors: B. B. Dash, R. Mahey, A. Kriplani, N. Agarwal, Neerja Bhatla

Published in: Archives of Gynecology and Obstetrics | Issue 6/2010

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Abstract

Introduction

Foreign bodies in the abdominal cavity are extremely rare findings. Their incidence is not known exactly because of under reporting of cases and they go unrecognized at times.

Case report

We are presenting a case of retained surgical sponge removed 9 years after cesarean section. A 30-year-old female presented 9 years after cesarean section with menorrhagia and pain in abdomen. Ultrasonography revealed a pelvic mass and the patient was successfully managed by laparotomy and removal of the sponge.

Conclusion

Iatrogenic foreign bodies are avoidable complications that need careful observation during surgery. Diagnosis needs high index of suspicion in patients with previous surgery.
Literature
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Hyslop JW, Maull KI (1982) Natural history of the retained surgical sponge. South Med J 75(6):657–660PubMed
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Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ (2003) Risk factors for retained instruments and sponges after surgery. N Engl J Med 348:229–235CrossRefPubMed
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Yuh-Feng T, Chin-chu W, Cheng-Tau S, Min-Tsung T (2005) FDG PET CT features of an intraabdominal gossypiboma. Clin Nucl Med 30:561–563CrossRefPubMed
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Rappaport W, Haynes K (1990) The retained surgical sponge following intra-abdominal surgery, a continuing problem. Arch Surg 125:405–407PubMed
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Vallerie AM, Herzog TJ, Wright JD (2008) Postpartum sterilization: small incision, big complication. Obstet Gynecol 112(2):353–357PubMed
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Yamamura N, Nakajima K, Takahashi T, Uemura M, Nishitani A, Souma Y, Nishida T (2008) Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: report of a case. Surg Today 38(6):552–554CrossRefPubMed
Metadata
Title
Textiloma, a rare pelvic tumor
Authors
B. B. Dash
R. Mahey
A. Kriplani
N. Agarwal
Neerja Bhatla
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 6/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1412-6

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