Case Report


Spontaneous trans-visceral migration and intestinal obstruction due to a textiloma: A case report

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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

doi: 10.5348/101026Z01IU2019CR

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How to cite this article

Umoke IC, Stephen GE, Henrietta UN, Abubakar HK. Spontaneous trans-visceral migration and intestinal obstruction due to a textiloma: A case report. Int J Case Rep Images 2019;10:101026Z01IU2019.

ABSTRACT


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

SUPPORTING INFORMATION


Author Contributions

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 Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this study.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 Ifeanyi Charles Umoke et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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