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Related Experiment Videos

Retained surgical sponge simulating a pancreatic mass.

R S Jason, A Chisolm, H W Lubetsky

    Journal of the National Medical Association
    |May 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    A retained surgical sponge caused a cystic abdominal mass 12 years after surgery. This case highlights the rare but serious complications of overlooked foreign objects in patients.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Medical Imaging

    Background:

    • Retained surgical foreign bodies are infrequent but can lead to significant patient morbidity years after initial procedures.
    • Diagnostic imaging modalities like angiography may suggest malignancy or inflammatory processes when a foreign body is present.

    Observation:

    • An abdominal mass was identified and evaluated using angiography, with initial differential diagnoses including pancreatic carcinoma or pseudocyst.
    • Surgical exploration revealed a cystic mass containing a surgical sponge, a foreign body inadvertently left during a procedure 12 years prior.

    Findings:

    • The cystic mass was confirmed to be a complication arising from a retained surgical sponge.
    • The foreign body had been present within the patient's abdomen for 12 years before diagnosis.

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    Implications:

    • This case underscores the critical importance of meticulous surgical counts and postoperative imaging to prevent retained surgical items.
    • Awareness of delayed complications from retained foreign bodies is essential for clinicians managing abdominal masses.
    • Strategies for avoiding surgical complications related to foreign bodies are discussed, emphasizing prevention and early detection.