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International Urology and Nephrology

, Volume 40, Issue 4, pp 885–888 | Cite as

Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy

  • Ibrahim CevikEmail author
  • Ozdal Dillioglugil
  • Hakan Ozveri
  • Atif Akdas
Urology - Original Paper

Abstract

Retained surgical gauze is a rare but known problem in patients who have medical history of surgery. Suspicion and evaluation of this rare condition is sometimes very difficult for the clinician because retained surgical sponges can be totally asymptomatic or can hide themselves perfectly in the plain abdominal films. For this reason clinican should excersize high rate of suspicion, should not solely depend upon plain films and should consider more sophisticated examinations like ultrasonography (US) or computerized tomography for the appropriate management of these retained sponges. We present here a very unusual and late presentation of surgically retained gauze which gave a false appearance of a kidney with decreased functional activitity in the excretory urography (EU) 32 years after nephrectomy.

Keywords

Retained gauze Nephrectomy Complication 

References

  1. 1.
    Botet del Castillo FX, Lopez S, Reyes G, Salvador R et al (1995) Diagnosis of retained abdominal gauze swabs. Br J Surg 82(2):227–228PubMedCrossRefGoogle Scholar
  2. 2.
    Uribe CA, Castellanos RI, Velez A et al (2002) Unusual cause of a mass in the upper pole of a right kidney: a case report. Arch Esp Urol 55(8):958–959PubMedGoogle Scholar
  3. 3.
    Liessi G, Semisa M, Sandini F et al (1989) Retained surgical gauzes: acute and chronic CT and US findings. Eur J Radiol 9(3):182–186PubMedGoogle Scholar
  4. 4.
    Choi BI, Kim SH, Yu ES et al (1988) Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol 150(5):1047–1050PubMedGoogle Scholar
  5. 5.
    Zbar AP, Agrawal A, Saeedi IT et al (1998) Gossypiboma revisited:a case report and review of the literature. J R Coll Surg Edinb 43:417–418PubMedGoogle Scholar
  6. 6.
    Williams RG, Bragg DG, Nelson JA (1978) Gossypiboma—the problem of the retained surgical sponge. Radiology 129:323–326PubMedGoogle Scholar
  7. 7.
    Fariña LA, Villavicencio H, Chechile G (1995) Preoperatively recognized chronically retained pararenal gauzoma. Int Urol Nephrol 27(1):33–35PubMedGoogle Scholar
  8. 8.
    Cokelaere K, Vanvuchelen J, Michielsen P et al (2001) Epithelioid angiosarcoma of the splenic capsule. Report of a case reiterating the concept of inert foreign body tumorigenesis. Virchows Arch 438:398–403PubMedCrossRefGoogle Scholar
  9. 9.
    Agras K, Serefoglu EC, Duran E et al (2007) Retroperitoneal textiloma mimicking a renal tumor: case report. Int Urol Nephrol 39(2):401–403PubMedCrossRefGoogle Scholar
  10. 10.
    Arpit N, Abhijit R, Narlawar RS et al (2002) Gauze pad in the abdomen: can you give the diagnosis without knowing the history? J Radiol (http://www.jradiology.com/arts/50.pdf). Accessed 1 Jan 2008
  11. 11.
    Lin TY, Chuang CK, Wong YC et al (1999) Gossypiboma:migration of retained surgical gauze and spontaneous transurethral protrusion. BJU Int 84:879–880PubMedCrossRefGoogle Scholar
  12. 12.
    Grassi N, Cipolla C, Torvica A et al (2008) Trans-visceral migration of retained surgical gauze as a cause of intestinal obstruction: a case report. J Med Case Reports 2:17. doi: 10.1186/1752-1947-2-17 PubMedCrossRefGoogle Scholar
  13. 13.
    Yaycioglu O, Ulusan S, Ezer A et al (2007) Ureteroappendiceal fistula due to gossypiboma. Urol Int 79(2):187–188PubMedCrossRefGoogle Scholar
  14. 14.
    Bilen CY, Asci R, Sarikaya S et al (2005) Case series: pseudotumor formation in bladder as a late complication of pelvic and inguinal surgeries. Int Urol Nephrol 37:707–711PubMedCrossRefGoogle Scholar
  15. 15.
    Olnick HM, Weens HS, Rogers JV Jr (1955) Radiological diagnosis of retained surgical sponges. JAMA 159:1525–1527Google Scholar
  16. 16.
    Choi BI, Kim SH, Yu ES et al (1988) Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol 150:1047–1050PubMedGoogle Scholar
  17. 17.
    Chau WK, Lai KH, Lo KJ (1984) Sonographic findings of intraabdominal foreign bodies due to retained gauze. Gastrointest Radiol 9:61–63PubMedCrossRefGoogle Scholar
  18. 18.
    Macario A, Morris D, Morris S (2006) Initial clinical evaluation of a handheld device for detecting retained surgical sponges using radiofrequency identification technology. Arch Surg 141:659–662PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, B.V. 2008

Authors and Affiliations

  • Ibrahim Cevik
    • 1
    Email author
  • Ozdal Dillioglugil
    • 2
  • Hakan Ozveri
    • 1
  • Atif Akdas
    • 1
  1. 1.URO-TIP Health ServicesIstanbulTurkey
  2. 2.Department of UrologyKocaeli University School of MedicineDerince, KocaeliTurkey

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