ﮔﺰارش ﯾﮏ ﻣﻮرد ﺟﺴﻢ ﺧﺎرﺟﯽ ﺑﺎﻗﯿﻤﺎﻧﺪه در ﺷﮑﻢ ﭘﺲ از 23 ﺳﺎل

A Case Report of Retained Foreign Body Following Abdominal Surgery after 23 Years

اﺟﺴﺎم ﺧﺎرﺟﯽ ﺑﺎﻗﯽ ﻣﺎﻧﺪه ﯾﮑﯽ از ﻋﻮارض ﺟﺮاﺣﯽﻫﺎ ﺑﻪ ﺧﺼﻮص ﺟﺮاﺣﯽﻫﺎي داﺧﻞ ﺷﮑﻤﯽ ﻣﯽﺑﺎﺷﺪ ﮐﻪ ﺣﺘﯽ ﻣﻤﮑﻦ اﺳﺖ ﺑﺎ ﻣﺮگ و ﻣﯿﺮ ﻫﻤﺮاه ﺑﺎﺷﺪ. ﺑﺮاي ﺑﺎﻗﯽ ﻣﺎﻧﺪن اﺟﺴﺎم ﻧﺨﯽ واژه Gossypiboma ﺑﮑﺎر ﻣﯽرود ﮐﻪ ﺑﺎ ﻓﺮاﯾﻨﺪﻫﺎي ﭘﺎﺗﻮﻟﻮژﯾﮏ ﻣﺘﻔﺎوﺗﯽ ﻣﯽﺗﻮاﻧﺪ ﺑﺮوز و ﻋﻼﻣﺖدار ﺷﻮد. ﺑﯿﻤﺎر ﻣﻄـﺮح ﺷﺪه ﺧﺎﻧﻢ 74 ﺳﺎﻟﻪ اي اﺳﺖ ﮐﻪ ﺑﻪ دﻟﯿﻞ درد و ﺗﻮده ﺷﮑﻢ ﺑﺴﺘﺮي و ﺗﺤﺖ ﻻﭘﺎراﺗﻮﻣﯽ ﻗﺮار ﮔﺮﻓﺖ ﮐﻪ ﻣﺸﺨﺺ ﮔﺮدﯾﺪ ﺑﺨﺸﯽ از اﯾﻠﺌﻮم ﺗﺮﻣﯿﻨﺎل و ﺳﮑﻮم ﺑﺼﻮرت ﯾﮏ ﺗﻮده ﻏﯿﺮ ﻗﺎﺑﻞ اﻓﺘﺮاق - در اﺛﺮ ﺑﺎﻗﯽ ﮔﺬاﺷﺘﻦ ﻟﻨﮕﺎز از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻗﺒﻠﯽ در آﻣﺪه ﺑﻮد ﮐﻪ اﻗﺪام ﺑﻪ رزﮐﺴﯿﻮن اﯾﻠﺌﻮﺳﮑﺎل و آﻧﺎﺳﺘﻮﻣﻮز اﯾﻠﺌﻮﮐﻮﻟﯿﮏ ﺷﺪ.

Retained surgical sponges are one of the complications of surgery, especially intra-abdominal surgery. The term gossypiboma denotes a piece of cotton material such as cotton pads, towels and sponges forgotten in a body cavity after operation. The patient was a 74-year-old woman hospitalized for abdominal pain and lump, which revealed that part of the terminal ileum and cecum was an indistinguishable mass, due to fibrotic reaction of the previous gynecologic surgery. Ileocecal resection and ileocolic anastomosis and abdominal lavage were performed and the patient was discharged a few days later. Hence to gossypiboma and its complications are one of the legal matter in medicine, consideration to prevention is important.