Transgastric Migration of Retained Intraabdominal Surgical Sponge: Gossypiboma in the Bulbus

Ahmet Erdil; Guldem Kilciler; Yuksel Ates; Ahmet Tuzun; Mustafa Gulsen; Necmettin Karaeren; Kemal Dagalp

doi:10.2169/internalmedicine.47.0391

CASE REPORTS

Transgastric Migration of Retained Intraabdominal Surgical Sponge: Gossypiboma in the Bulbus

Ahmet Erdil, Guldem Kilciler, Yuksel Ates, Ahmet Tuzun, Mustafa Gulsen, Necmettin Karaeren, Kemal Dagalp

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Keywords: gossypiboma, textiloma, retained surgical sponge, retained surgical swab, retained surgical towel

JOURNAL OPEN ACCESS

2008 Volume 47 Issue 7 Pages 613-615

DOI https://doi.org/10.2169/internalmedicine.47.0391

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Abstract

A 55-year-old hemiplegic woman with percutaneous endoscopic gastrostomy (PEG) was referred to our clinic for upper gastrointestinal system bleeding and for a high level of cholestatic enzymes. She had a medical history of cerebra vascular accident three years previously and cholecystectomy one year previously. We performed gastroscopy and saw a retained surgical sponge in the bulbus. After removal of the gossypiboma, endoscopic sclerotherapy was performed for the bleeding area at the bulbus. After the procedure, the upper gastrointestinal bleeding stopped and the high level of cholestatic enzymes returned to normal.

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