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Gossypiboma Masquerading as Small Bowel Malignancy
Amir H Boghratian1, Ahmad M Al-Taee2
1Division of Gastroenterology, Iran University of Medical Sciences, Tehran, Iran.
Middle East Journal of Digestive Diseases
|July 7, 2020
Summary
Gossypiboma, or retained surgical gauze, can cause serious complications like bowel obstruction after surgery. Early consideration in patients with postoperative abdominal pain is crucial for timely diagnosis and removal.
Area of Science:
- Gastroenterology and General Surgery
Background:
- Gossypiboma, a retained foreign body after surgery, presents with non-specific symptoms and can lead to complications.
- Risk factors include high body mass index and emergency procedures.
Observation:
- A 30-year-old woman experienced abdominal pain two months post-mini-gastric bypass surgery.
- Imaging suggested malignancy, but endoscopy revealed a large retained surgical gauze in the afferent loop.
Findings:
- Successful endoscopic retrieval of a 10 × 40 cm surgical gauze from the small bowel.
- The gossypiboma was the cause of the patient's abdominal pain and concerning imaging findings.
Implications:
- This case underscores the importance of considering gossypiboma in postoperative abdominal pain differentials.
- Prompt diagnosis and management, potentially via endoscopy, are vital to prevent severe complications.
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