Film Session Q&A 2 : Laparoscopic removal of a chronically retained gauze = Film Session Q&A 2 : Laparoscopic removal of a chronically retained gauze

다국어 초록 (Multilingual Abstract)

Term of gossypiboma (textiloma, cottonoid, gauzoma, and muslinoma) is used to describe a retained surgical pad or gauze in the body after an operation. Retained postoperative foreign bodies, of which sponges are the most common, is a preventable condition and almost always iatrogenic. Gossypiboma may present acutely or subacutely and sometimes it may be symptom free. We present a case of abdominal gossypiboma 20 years after an appendectomy. A 44-year-old woman presented with irritability, abdominal discomfort. A forgotten surgical gauze in the left side of the pelvis was seen on abdomen-pelvis x-ray. She had a past history of acute appendicitis operated on 20 years earlier and had vague abdominal discomfort and anorexia after the operation. Computed tomography scan revealed a foreign body measured 6.2 cm with heterogeneous internal structure in the left iliac fossa that had been surrounded by the small intestine and the colon. Laparoscopy was done with a 12-mm suprapubic port and three 5-mm ports in the left, right lower quadrants and infra-umbilical areas. The small bowel loops adhered to the gauze, which together made up a mass. Using sharp dissection, bowel loops were carefully separated. The gauze had decomposed into a semi-liquid material consisting of hundreds of small particles and could not be removed in one piece; a basket was used.