Retained surgical needle post myomectomy, an uncommon mishap.
| Autor: | Obajimi GO, Oranye BC |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | African journal of medicine and medical sciences [Afr J Med Med Sci] 2014 Dec; Vol. 43 (4), pp. 365-7. |
| Abstrakt: | Background: Retained foreign bodies are relatively uncommon and probably underreported in the tropics. Largely preventable errors, they cause harm to both the patient and the medical practitioner. CASE PRESENTATION AND MANAGEMENT: A 32 year old primigravida with recurrent lower abdominal pain in pregnancy. She had myomectomy a year earlier at a private hospital in which the endometrium was inadvertently breached. She subsequently had an elective caesarean section at 38 weeks and 2 days gestational age. Intra-operative findings were adhesive bands between the uterus and loops of bowel and a round bodied surgical needle attached by adhesions anteriorly to the lower segment. Her post operative care was uneventful and she was discharged home on the 3rd day post operation. Conclusion: Retained surgical foreign body (RSFB) could pose a diagnostic dilemma as in the case of this patient with recurrent lower abdominal pain in pregnancy. Meticulous instrument count should include sutures and needles. |
| Databáze: | MEDLINE |
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