留置された外科用スポンジのトランスムラル移動は,閉じ込められたイリアルの穿孔を引き起こします

Sridhar V Prabhu¹, Vivek Lanka¹, Srikanth Marthandam²

¹Department of Radiology, All India Institute of Medical Sciences, Mangalagiri, Guntur, IND.

Cureus

|February 20, 2026

まとめ

留置された外科用スポンジは珍しい合併症です. このケースは,腸の穿孔を引き起こす移住スポンジを持つ患者の詳細を述べ,診断のためのCT画像の重要性を強調しています.

科学分野:

胃腸内科胃腸内科
放射線学放射線学
手術による合併症

背景:

留置された外科用スポンジは,手術後の合併症はまれです.
腸内へのトランスムラー伝搬は珍しいものの,慢性炎症による阻害や穿孔につながる可能性があります.
症状はしばしば非特異的であり,診断が遅れる可能性があります.

研究の目的:

留置された外科用スポンジがイレウムに転移した珍しいケースを報告する.
この合併症に関連した特徴的なコンピュータトモグラフィ (CT) の発見を例示します.
留置された外科用スポンジの早期診断におけるイメージングの役割を強調する.

主な方法:

ヒステレクトミーから3ヶ月後に症状を発症した54歳の女性の症例報告.
コントラスト強化コンピュータトモグラフィー (CT) の詳細な分析.
外科的切除と病理学的確認.

主要な成果:

CTでは,周囲のイレアル厚み,放射性オパックマーカー,スポンジ状ガスのパターン,室内空気,室外空気,および中腸のストランディングが明らかになりました.
発見は,移住した外科用スポンジからの閉じ込められたイレアル穿孔と一致しました.
手術により診断が確認されました.

結論:

腸に移動する留置された外科用スポンジは,まれですが,深刻な合併症です.
特徴的なCTの特徴は,スポンジ状の外観や外気など,診断に不可欠です.
画像画像による迅速な認識は,適切な管理と患者の結果のために不可欠です.

キーワード:

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