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Related Experiment Videos

Strangulated intestinal obstruction due to forgotten eroding laparotomy pad

A Gökalp1, I Sanal, G Maralcan

  • 1Department of General Surgery, School of Medicine, Gaziantep University Hospital, Kolejtepe, Turkey.

Acta Chirurgica Hungarica
|January 1, 1995
PubMed
Summary

A retained laparotomy pad caused a rare case of small-bowel obstruction and strangulation following a cholecystectomy. This surgical complication highlights the importance of meticulous surgical counts to prevent retained foreign bodies.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Retained surgical foreign bodies, such as laparotomy pads, are infrequent but serious complications.
  • Intraluminal foreign bodies can lead to severe gastrointestinal issues, including obstruction and strangulation.

Observation:

  • This case report details a patient who developed strangulated intestinal obstruction.
  • The obstruction was caused by a laparotomy pad inadvertently left within the abdomen after a previous cholecystectomy.

Findings:

  • The impacted laparotomy pad acted as an intraluminal foreign body, leading to a mechanical small-bowel obstruction.
  • The obstruction progressed to strangulation, indicating compromised blood supply to the affected bowel segment.

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Implications:

  • This case underscores the critical need for strict adherence to surgical instrument and material counts to prevent retained surgical items.
  • Awareness of such rare complications is essential for surgeons to ensure patient safety and improve surgical outcomes.
  • Early recognition and prompt surgical intervention are crucial for managing strangulated intestinal obstruction caused by retained foreign bodies.