International Journal of Anatomy Radiology and Surgery (Oct 2016)
Spontaneous Transmural Migration and Impaction of Gossypiboma: A Rare Cause of Acute Intestinal Obstruction
Abstract
Retained surgical sponge is not uncommon yet an underreported event. Spontaneous transmural migration into hollow viscera is further rare but reported occurrence. We present a case of 49-year-old male who apparently had undergone exploratory laparotomy and splenectomy for trauma 4 years back, presented to Emergency Department with features of small intestinal obstruction. On exploration laparotomy a bezoar-like intraluminal foreign body impacted at 20cm from ileocaecal junction which on per enterotomy retrieval was a surgical sponge.
Keywords