Laparoscopic Retrieval of a 13-Year-Old Retained Iatrogenic Metallic Foreign Body from the Pelvis: An Uncommon Case Report

Autor: Deepak Rajput, Amit Gupta, Sruthi Shasheendran, Rishit Mani, Amoli Tandon, Shyam Karuppusamy Krishnasamy, Rohik Anjum T. Siddeek, Krishna Sai Bhukya, Sanketh Edem
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Surgery Journal, Vol 09, Iss 01, Pp e62-e66 (2023)
Druh dokumentu: article
ISSN: 2378-5128
2378-5136
DOI: 10.1055/s-0043-1764124
Popis: Retained surgical foreign bodies are unanticipated events culminating from inadvertent operating room errors and may cause severe medical and legal problems between the patient and the doctor. Here, we report detecting a surgical instrument fragment 13 years after an open abdominal hysterectomy in a quadragenarian during her evaluation of a month-old complaint of lower abdominal and right thigh pain. A computed tomography scan of the abdomen demonstrated a radio-opaque linear foreign body traversing the right obturator foramen with extension into the pelvis cranially and the adductor compartment of the right thigh caudally. The metallic foreign body, identified as a fragmented handle of a uterine tenaculum forceps with a slender sharp-tip hook, could be removed laparoscopically from the pelvis after a diagnostic laparoscopy, preventing significant complications. The minimally invasive approach enabled a smooth recovery, and the patient could go home on the second postoperative day.
Databáze: Directory of Open Access Journals