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The forgotten surgical foreign body
Abstract:
Instruments and drains left in the abdomen following surgery may be responsible for bizarre and varied complications. The patient may remain asymptomatic for months or even years. Complications include adhesion formation, intestinal obstruction, abscesses, and erosion into the gastrointestinal tract. We report 3 patients in whom retained surgical material eroded into the duodenum and colon, respectively, and produced unusual radiologic findings and complications.
Insights
Retained surgical instruments can cause delayed abdominal complications like erosion into the GI tract. These rare events may present years after surgery with unusual symptoms and imaging findings.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Imaging
Background:
- Surgical instruments and drains left inadvertently in the abdomen (retained surgical material) can lead to serious complications.
- These complications may manifest months or years after the initial procedure, often with delayed and varied presentations.
Observation:
- This report details three distinct cases involving patients with retained surgical materials.
- The retained items led to erosion into the gastrointestinal tract, specifically the duodenum and colon.
Findings:
- The erosion of retained surgical material into the duodenum and colon resulted in unique and complex clinical scenarios.
- Unusual radiologic findings were observed, aiding in the diagnosis of these rare complications.
Implications:
- Highlights the potential for severe, long-term consequences of retained surgical items.
- Emphasizes the importance of vigilant surgical practice and thorough postoperative assessment to prevent such events.