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Related Experiment Videos

Cyste per magna abdominalis.

W L Hesp, R J Goris

    Acta Chirurgica Belgica
    |November 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    A surgical gauze pad was discovered in a 79-year-old woman's abdomen 67 years after a nephrectomy. This extremely rare case involved an infected pseudocyst, marking the longest reported interval for a retained surgical item.

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    Area of Science:

    • Medicine
    • Surgery
    • Medical Case Reports

    Background:

    • Retained surgical items (RSIs) are a rare but significant complication in surgical procedures.
    • Foreign objects left unintentionally in the body can lead to serious health issues, including infection and chronic pain.

    Observation:

    • A 79-year-old female presented with fever and a large abdominal mass, initially suspected to be an infected ovarian cyst.
    • Surgical exploration revealed an exceptionally large pseudocyst.
    • The pseudocyst contained a surgical gauze pad, identified as having been retained for 67 years following a prior nephrectomy.

    Findings:

    • The identified pseudocyst represents the largest reported in medical literature.
    • The 67-year interval between the nephrectomy and the discovery of the gauze pad is the longest documented case of a retained surgical item.

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  • This case is unique as it details an infected pseudocyst formed around a long-retained foreign object.

    • Implications:

    • This case highlights the critical importance of meticulous surgical counts and documentation to prevent retained surgical items.
    • It underscores the potential for delayed complications, such as infection and pseudocyst formation, from foreign objects left in situ.
    • The findings emphasize the need for heightened vigilance in diagnosing abdominal masses, considering rare etiologies like long-term retained surgical materials.