Gossypiboma or Textiloma: A Report of 2 Cases and Strategies for Prevention

M E Aghahowa¹, F F Achem², E O Umobong³ and B A Ojo^4,

¹Department of Surgery, Asokoro District Hospital, Julius Nyerere Crescent, Asokoro, Abuja, Nigeria

²Department of Obstetrics and Gynaecology, Fereprod Medical Centre, Garki, Abuja, Nigeria

³HistoConsult Laboratories Garki, Abuja, Nigeria

⁴Department of Histopathology, College of Health Scienes, Benue State University, Makurdi, Nigeria

Cite this paper

M E Aghahowa, F F Achem, E O Umobong and B A Ojo. Gossypiboma or Textiloma: A Report of 2 Cases and Strategies for Prevention. American Journal of Medical Case Reports. 2014; 2(6):123-125. doi: 10.12691/AJMCR-2-6-4

Abstract

2 cases of Gossypiboma also called Textiloma or Gauzeoma are presented with the attendant management challenges. One of them presented with an intra peritoneal abscess and a fistula necessitating a 2 staged bowel resection and colostomy then closure while the other simulated a complete intra luminal colonic tumor with sub acute intestinal obstruction. Despite the serious medico-legal and psychological issues involved the patients were duly informed. The doctors that did the previous surgeries were also informed. The surgical team is advised to be meticulous with swab counts in order to avoid its occurrence and when it does a high index of suspicion is required for early diagnosis and management. The policy of prevention coupled with use of several adjunct technologies which accounts for sponge use will help to reduce the incidence of gossypibomas. These strategies to avoid its occurrence are also discussed.

Keywords

gossypiboma, colonic tumor, laparoscopy, medico-legal, textiloma, Abuja

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Kamal E, Bani-Hani, Kamal A et al: Retained Surgical Sponges (Gossypiboma). Asian Journal of Surgery 2005; 28 (2): 109-115.
[2]	Jebbin NJ, Adotey JM. Gossypiboma: A report of 2 cases. Niger J Med 2006; 15: 87-88.
[3]	Nancymarie Fortunato. Coordinated Roles of the Scrub Person and the Circulator. In: Berry and Kohn’s Operating Room Technique 9th Edition, St. Louis: Mosby, 2000: 476-482.
[4]	Turgut M, Akyuz O, Ozsunar Y, Kacar F: Sponge Induced Granuloma (Gauzoma) as a complication of Posterior Lumbar Surgery. Neurol Med Chir (Tokyo) 2005: 45; 209-211.
[5]	Rajput A, Loud PA, Gibbs JF, Kraybill WG. Diagnostic challenges in patients with tumours: Case report 1. Gossypiboma manifesting 30 years after laparotomy. J Clin Oncol 2003; 21 (19): 3700-3701.
[6]	Kato K, Suzuki K, Sai S et al: A case of Para vesical foreign body granuloma due to surgical sponge retained for 40 years. Hinyokika Kiyo: 2000; 46 (7), 491- 494 (In Japanese).
[7]	Stoll A: retained surgical sponge 40 years after laminectomy. Case report. Surg Neurol. 1988; 30: 235-236.
[8]	General Medical Council. Management in Health Care: The Role of Doctors. London. 1999: 1-12.
[9]	General Medical Council. Good Medical Practice: London. 2001: 1-20.
[10]	Fadiora SO, Komolafe JO, Ogunniyi SO: Gossypiboma Stimulating Huge Ovarian Mass. Niger J Med. 2003; 12(1): 52-53.
[11]	Jason RS, Chisolm A, Lubertsky HW. Retained surgical sponge simulating a pancreatic mass. J Nat Med Assoc 1979; 71: 501-503.
[12]	Eboreime O, Adah JII, Irabor DO Ajao OG. Closure of Colostomy: When is the Optimal Time? The Ibadan Surgeon: 1993; 19(4), 134-139.
[13]	Neil J, Mortensen C, Jones Oliver: The small and large intestines. In Bailey and Love’s Short Practice of Surgery, 24th Ed, London. Hodder Arnold; 2004:1183-1185.