Intraluminal migration of a retained surgical sponge causing intestinal obstruction and fistula is extremely rare occurrence.
A case of a 35-year-old male, who complaining a diffuse abdominal pain beginning three days earlier. He also complained of occasional vomiting, nonspecific abdominal pain, and an unintentional 15 kg weight loss during the past 2 years. However, there were no clear findings in previous laboratory work. He had received an open appendectomy approximately 4 years earlier.
Retained surgical sponge.
A contrast-enhanced CT of the abdomen showed a clear invagination of the small intestine. However, intraoperatively, we could not find an intestinal segment with intussusception. After the adhesive intestine was detached, a jejunal−ileal cross-linked fistula was found. More surprisingly, a retained surgical sponge was found inside the ileal fistula when the cross-linked fistula was detached.
The patient was discharged 7 days after surgery.
This is the first report showing an atypical image of a complete transmural migration of a retained surgical sponge mimicking intussusception.
aDepartment of General Surgery, Suzhou Municipal Hospital (North Campus), Suzhou
bDepartment of Gastrointestinal Surgery, Clinical Medical College of Yangzhou University (the Northern Jiangsu People's Hospital), Yangzhou
cMedical Research Center, Clinical Medical College of Yangzhou University (the Northern Jiangsu People's Hospital), Yangzhou, Jiangsu Province, China.
Correspondence: Ping Chen and Liang Zong, Department of Gastrointestinal Surgery, Clinical Medical College of Yangzhou University (the Northern Jiangsu People's Hospital), Yangzhou 225001, Jiangsu Province, China (e-mails: firstname.lastname@example.org; email@example.com).
Abbreviations: GP = gossypiboma, RSS = retained surgical sponge.
ZY, CY, QT and CP drafted the manuscript. TS and ZL revised the final edition of the manuscript. ZY and TS contributed equally to this manuscript.
The authors have no conflicts of interest to disclose.
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
Received March 17, 2017
Received in revised form August 28, 2017
Accepted September 16, 2017