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Related Experiment Videos

Textiloma, a rare pelvic tumor.

B B Dash¹, R Mahey, A Kriplani

¹Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Archives of Gynecology and Obstetrics

|March 10, 2010

Summary

A rare case of a retained surgical sponge, discovered 9 years after a cesarean section, highlights the importance of vigilance. This case underscores the need for high suspicion when diagnosing abdominal masses in patients with prior surgical history.

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Area of Science:

Medical Case Reports
Surgical Complications
Abdominal Surgery

Background:

Foreign bodies in the abdominal cavity are exceedingly rare.
Underreporting and delayed diagnosis contribute to their infrequent documentation.
Iatrogenic retained surgical items represent a significant, yet avoidable, complication.

Observation:

A 30-year-old female presented with menorrhagia and abdominal pain 9 years post-cesarean section.
Pelvic mass identified via ultrasonography.
Surgical exploration revealed a retained surgical sponge.

Findings:

Successful removal of a surgical sponge retained for 9 years.
The patient's symptoms of menorrhagia and pain were attributed to the foreign body.
Laparotomy confirmed the diagnosis and facilitated complete sponge extraction.

Implications:

Highlights the critical need for meticulous surgical counts and postoperative checks.
Emphasizes the importance of a high index of suspicion for retained foreign bodies in patients with a history of abdominal surgery.
Underscores the potential for long-term, severe complications from overlooked surgical items.