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Related Experiment Videos

Preoperatively recognized chronically retained pararenal gauzoma

L A Fariña1, H Villavicencio, G Chechile

  • 1Urology Service, Fundación Puigvert, Barcelona, Spain.

International Urology and Nephrology
|January 1, 1995
PubMed
Summary
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A retained laparotomy gauze (gauzoma) caused a granuloma in a patient with general symptoms and a pararenal mass. Surgical confirmation highlighted the importance of imaging in diagnosing retained surgical sponges.

Area of Science:

  • Medical Imaging
  • Surgical Pathology

Background:

  • Retained surgical items, such as laparotomy gauze, can lead to delayed complications like granuloma formation.
  • A history of retroperitoneal surgery increases the risk of intra-abdominal complications.

Observation:

  • A patient presented with non-specific symptoms and a distinct pararenal mass identified via computed tomography.
  • The mass was located in the retroperitoneal space, prompting suspicion of a retained surgical item.

Findings:

  • Surgical exploration confirmed the presence of a granuloma secondary to a forgotten laparotomy gauze (gauzoma).
  • This case underscores the diagnostic utility of imaging in identifying retained surgical sponges.

Implications:

  • Accurate and timely diagnosis of retained surgical sponges is crucial for patient outcomes.

Related Experiment Videos

  • Enhanced vigilance and imaging review are recommended in patients with a history of surgery presenting with unexplained masses or symptoms.