International Journal of Anatomy Radiology and Surgery (Oct 2016)

Spontaneous Transmural Migration and Impaction of Gossypiboma: A Rare Cause of Acute Intestinal Obstruction

  • Nitin Nagpal,
  • D.S Sidhu,
  • Gurdhian Singh,
  • Salvinder Singh Toor

DOI
https://doi.org/10.7860/IJARS/2016/21027.2208
Journal volume & issue
Vol. 5, no. 4
pp. SC03 – SC04

Abstract

Read online

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