Retained surgical sponge presenting as a pelvic tumor after 25 years
| Autor: | Young-Sun Park, S.R Kim, H.K Baik |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Surgical Sponges
medicine.medical_specialty medicine.medical_treatment Abdominal cavity Gross examination Salpingectomy medicine Humans Pelvic Neoplasms business.industry Granuloma Foreign-Body Obstetrics and Gynecology General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure Pelvic tumor Female Segmental resection Foreign body Tomography X-Ray Computed business Foreign body granuloma |
| Zdroj: | International Journal of Gynecology & Obstetrics. 82:223-225 |
| ISSN: | 0020-7292 |
| Popis: | A surgical sponge left in the abdominal cavity may remain asymptomatic for a long period. When a foreign granuloma reaction is reactivated, it can cause the clinical symptoms and signs of a rapidly growing pelvic tumor. A 63-year-old diabetic woman was referred from a private clinic because of a rapidly growing pelvic mass and intermittent abdominal pain for several months. She had a history of right salpingectomy for tubal pregnancy 25 years before. Sonography showed an echogenic solid pelvic tumor with no cystic component. Pelvic CT revealed a welldemarcated mass with homogenous internal echo. Within the mass, a focally enhanced small area was noted (Fig. 1). At operation, the tumor was removed with segmental resection of the ileum due to severe bowel adhesions. On gross examination, the tumor had a well-developed glistening capsule and most of the internal content was filled with amorphous necrotic materials and cotton fibers of gauze were noted in the central area (Fig. 2). Microscopically, eosinophilic amorphous necrotic material with an area of foreign body |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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