Case Report
1 Department of Surgery, University of Abuja Teaching Hospital Gwagwalada, Nigeria
2 Department of Surgery, College of Health Sciences University of Abuja, Gwagwalada, Nigeria
3 Department of Family Medicine, Asokoro District Hospital Abuja, Nigeria
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Ifeanyi Charles Umoke
Department of Surgery, University of Abuja Teaching Hospital Gwagwalada,
Nigeria
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Article ID: 101026Z01IU2019
Introduction: Retained surgical sponge, otherwise called, gossypiboma, textiloma or gauzioma is a rare but the most frequently encountered retained foreign body after abdominal surgery. It is under reported in medical literature due to the medico-legal implications. The incidence has been put at 1:3000 to 1:100 surgeries by one series while another series put it at 1:5500 surgeries. Nonetheless, it is a condition with considerable morbidity and a mortality rate of about 10%.
Case Report: We report a case of spontaneous transmural migration of a textiloma with consequent subacute intestinal obstruction in a 31-year-old woman who had caeserean section for poor progress of labour six weeks prior to onset of features of intestinal obstruction.
Conclusion: Various methods have been devised by various institutions to reduce the incidence of retained surgical sponges the most effective being the radio-frequency system. However, the availability of the radio-frequency system may be low in low resource settings leaving the option of diligently utilizing the WHO safety check list for operation theatres as an alternative to curbing this distressing condition which is completely avoidable.
Keywords: Gossypiboma, Intestinal obstruction, Trans-visceral migration
Ifeanyi Charles Umoke - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Garba E. Stephen - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Umoke Nnenna Henrietta - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hamza K. Abubakar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
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