A misplaced surgical towel — a rare cause of fever of unknown origin
Autor: | António Baptista, Jose Antonio Malhado, Helena Pacheco, Sofia C. Lourenco |
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Rok vydání: | 2008 |
Předmět: |
Adult
Surgical Sponges medicine.medical_specialty Medical Errors business.industry Constitutional symptoms Perforation (oil well) Peritonitis Gossypiboma Foreign Bodies medicine.disease Fever of Unknown Origin Surgery Bowel obstruction Abdomen Internal Medicine medicine Humans Female Fever of unknown origin Presentation (obstetrics) Tomography X-Ray Computed business Abdominal surgery |
Zdroj: | European Journal of Internal Medicine. 19:377-378 |
ISSN: | 0953-6205 |
DOI: | 10.1016/j.ejim.2007.10.008 |
Popis: | Retained surgical towels, usually called gossypiboma, are rare, but can cause important morbidity and mortality. Usually they are discovered during the first few days after surgery, but may remain undetected for many years. Bowel obstruction, perforation, pseudotumor or peritonitis are most often the clinical presentation, but in some cases only constitutional symptoms prevail. Diagnosis can be difficult, mostly because of low clinical suspicion. We report a case of a woman who presented with fever and weight loss three and half years after an abdominal surgery. After an extensive workup, a gossypiboma was finally discovered and removed, leading to a complete cure. |
Databáze: | OpenAIRE |
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