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Migración transmural de una esponja quirúrgica retenida que causa perforación ileal contenida
Sridhar V Prabhu1, Vivek Lanka1, Srikanth Marthandam2
1Department of Radiology, All India Institute of Medical Sciences, Mangalagiri, Guntur, IND.
Cureus
|February 20, 2026
Resumen
Las esponjas quirúrgicas retenidas son complicaciones raras. Este caso detalla un paciente con una esponja migrada que causa perforación intestinal, destacando la importancia de la imagen de TC para el diagnóstico.
Área de la Ciencia:
- Gastroenterología; Radiología; Complicaciones Quirúrgicas
Sus antecedentes:
- Las esponjas quirúrgicas retenidas son complicaciones posoperatorias infrecuentes.; La migración transmural al intestino, aunque poco común, puede provocar obstrucción o perforación debido a inflamación crónica.; Los síntomas a menudo son inespecíficos y el diagnóstico puede retrasarse.
Objetivo del estudio:
- Informar un caso raro de migración transmural de una esponja quirúrgica retenida al íleon.; Ilustrar los hallazgos característicos de la tomografía computarizada (TC) asociados con esta complicación.; Enfatizar el papel de la imagenología en el diagnóstico oportuno de esponjas quirúrgicas retenidas.
Principales métodos:
- Reporte de caso de una mujer de 54 años con síntomas tres meses después de una histerectomía.; Análisis detallado de los hallazgos de TC con contraste.; Resección quirúrgica y confirmación patológica.
Principales resultados:
- La TC reveló engrosamiento ileal circunferencial, un marcador radiopaco, patrones de gas esponjiforme, aire intramural, aire extraluminal yvasion mesentérica.; Los hallazgos fueron consistentes con perforación ileal contenida por una esponja quirúrgica migrada.; La intervención quirúrgica confirmó el diagnóstico.
Conclusiones:
- Las esponjas quirúrgicas retenidas que migran al intestino son complicaciones raras pero graves.; Las características características de la TC, incluida la apariencia esponjiforme y el aire extraluminal, son cruciales para el diagnóstico.; El reconocimiento temprano a través de imágenes es vital para el manejo adecuado y los resultados del paciente.
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