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Unintentionally retained lap sponge mimicking an ovarian cyst two years after Caesarean section in a 37-year old patient: case report of a rare "never event" in Sudan.
Elamin, Hagir Osman Ahmed; Masoud, M Sayed; Mohamed Ali, Khattab Saeed Elkhazin; Fadl, Hiba Awadelkareem Osman; Hamza, Abdelrahman Hamza Abdelmoneim; Basheer, Hind Abashar Mohamed; Alfaraja, Mohamed.
Afiliación
  • Elamin HOA; Faculty of Medicine and Health Sciences, University of Bakht Alruda, Ad Duwaym, Sudan. hagerosman914@gmail.com.
  • Masoud MS; Faculty of Medicine and Health Sciences, University of Bakht Alruda, Ad Duwaym, Sudan.
  • Mohamed Ali KSE; Faculty of Medicine and Health Sciences, University of Shendi, Shendi, Sudan.
  • Fadl HAO; Department of Haematology, Faculty of Medical Laboratory Sciences, Al-Neelain University, Khartoum, Sudan.
  • Hamza AHA; Senior Medical Laboratory Specialist, Saudi Commission for Health Specialties (SCFHS), Makkah, Kingdom of Saudi Arabia.
  • Basheer HAM; Clinical Immunology Resident, Medical Specialization Board (SMSB), Khartoum, Sudan.
  • Alfaraja M; Faculty of Medicine, Al-Neelain University, Khartoum, Sudan.
Patient Saf Surg ; 18(1): 26, 2024 Aug 16.
Article en En | MEDLINE | ID: mdl-39152454
ABSTRACT

INTRODUCTION:

This case report reports an unusual occurrence of gossypiboma, which refers to the accidental retention of surgical materials like sponges in the peritoneal cavity. The term is derived from "gossypium" (cotton) and "boma" (place of concealment). Its incidence varies with surgical type, posing diagnostic challenges due to nonspecific symptoms and equivocal imaging. Despite its rarity, gossypiboma poses significant risks, including intestinal obstruction and abscess formation. CASE PRESENTATION A 37-year-old woman with ten previous pregnancies and an emergent caesarean section presented with abdominal pain. Examination and ultrasound suggested an ovarian cyst. During surgery, a 10 × 10 cm gauze-filled mass adherent to the ovary and jejunum was found. Postoperatively, she recovered well with no complications. The patient was treated with intravenous fluids and antibiotics for five days post-surgery and recovered without any complications. She was discharged from the hospital five days after the procedure.

CONCLUSION:

To the best of our knowledge, this is the first reported case of gossypiboma in Sudan in 2024, highlighting diagnostic challenges and the need for preventive protocols. Root cause analysis of accidents, enhanced training, application of advanced technologies and a collaborative culture in the operating room can prevent the occurrence of such incidents. This case underscores the importance of meticulous surgical protocols and continuous improvement in safety measures to prevent retained surgical items, ensuring patient safety and optimal outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Patient Saf Surg Año: 2024 Tipo del documento: Article País de afiliación: Sudán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Patient Saf Surg Año: 2024 Tipo del documento: Article País de afiliación: Sudán Pais de publicación: Reino Unido