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Gossypiboma masquerading as nephrocutaneous fistula
Siddharth Pandey1, Ajay Aggarwal1, Vishwajeet Singh1
1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Reports
|September 29, 2018
Summary
A rare nephrocutaneous fistula was initially suspected after kidney surgery. Diagnosis revealed a retained surgical sponge (gossypiboma), highlighting the importance of prevention and meticulous surgical practices.
Area of Science:
- Urology
- Surgical Complications
Background:
- Nephrocutaneous fistula is a rare surgical complication.
- Gossypiboma, a mass formed around a retained surgical sponge, can also cause fistula formation.
Observation:
- A patient presented with suspected nephrocutaneous fistula post-pyelolithotomy.
- During surgical resection, a retained surgical sponge (gossypiboma) was discovered near the kidney.
Findings:
- Gossypiboma is often undiagnosed by imaging, leading to extensive investigations.
- High index of suspicion aids in earlier gossypiboma diagnosis.
Implications:
- Prevention of gossypiboma is paramount.
- Meticulous surgical and operating room protocols are essential for preventing retained surgical sponges.
