Twenty Years with a Retained Foreign Body after Hysterectomy: A Case Report.
| Autor: | Mashhadi MR; Department of Health, Rescue and Treatment of IR Iran Police Force, Applied Research Center, Tehran, Iran., Shahabinejad M; Department of Health, Rescue and Treatment of IR Iran Police Force, Applied Research Center, Tehran, Iran. |
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| Jazyk: | angličtina |
| Zdroj: | Advanced journal of emergency medicine [Adv J Emerg Med] 2019 Apr 06; Vol. 3 (3), pp. e29. Date of Electronic Publication: 2019 Apr 06 (Print Publication: 2019). |
| DOI: | 10.22114/ajem.v0i0.139 |
| Abstrakt: | Introduction: Unintentionally retained foreign bodies (RFBs) can be accompanied with acute reactions such as inflammatory responses, infections and abscesses within a few days or weeks after surgery with adverse consequences for patients and surgeons. Case Report: An 84-year-old woman was admitted to hospital with weakness, lethargy and infectious secretions of the umbilicus. The patient had undergone hysterectomy 21 years before. Clinical examinations and accurate umbilicus explorations found a 0.5-mm fibrin and smelly umbilical secretions. Dragging found the fibrin to be a surgical gauze thread. The patient was therefore identified as a candidate for laparotomy, which revealed a long gauze attached to a band and a metal ring in the umbilicus and hypogastric regions as well as a large abscess containing 200 ml of infectious secretions, severe adhesions of the intestines to each other and to the abdominal wall, a 10×10 cm cavity and an approximately 1-cm fistula or laceration in the Ileum due to the foreign body (long gauze). The patient was discharged from the hospital in good health conditions after the final surgery. Conclusion: Given the possibility of leaving foreign bodies in the surgery site, surgical teams are required to precisely control surgical instruments after surgery. |
| Databáze: | MEDLINE |
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