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Case Report
 
Large metal retractor left in the abdominal cavity for 27 years after colorectal surgery
Alexandar Alexandrov1, Lazar Jelev2, Dimitar Nikolov1, Lina Malinova1, Stanislav Hristov2
1Assistant Professor, Department of Forensic Medicine and Deontology, Medical University of Sofia, Sofia, Bulgaria.
2Associate Professor, Department of Anatomy, Histology and Embryology, Medical University of Sofia, Sofia, Bulgaria.

doi:10.5348/ijcri-2013-04-300-CR-9

Address correspondence to:
Lazar Jelev
MD, Ph.D, Department of Anatomy, Histology and Embryology
Medical University of Sofia blvd. Sv. Georgi Sofiisky 1
BG-1431 Sofia
Bulgaria
Phone: +359-2-91-72-636
Fax: +359-2-851-87-83
Email: ljelev@abv.bg

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How to cite this article:
Alexandrov A, Jelev L, Nikolov D, Malinova L, Hristov S. Large metal retractor left in the abdominal cavity for 27 years after colorectal surgery. International Journal of Case Reports and Images 2013;4(4):228–231.


Abstract
Introduction: Retention of surgical instruments in a patient's body after surgery is a rare but potentially dangerous error.
Case Report: A case of a nearly 27-year long history of a patient with a large metal retractor in the abdominal cavity left accidentally after colorectal surgery is discussed here.
Conclusion: In the modern surgical era, reports of surgical instruments left accidentally in the body are rare. A radiographic screening of the high-risk patients at the end of operation is still a valuable tool in the search for possibly retained surgical instruments.

Keywords: Foreign body, Abdominal cavity, Colorectal surgery, Postoperative radiographic screening


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Author Contributions
Alexandar Alexandrov – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Lazar Jelev – Substantial contributions to conception and design, Acquisition of data, analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Dimitar Nikolov – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lina Malinova – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Stanislav Hristov – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Alexandar Alexandrov et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)