Intraperitoneal gossypibomas: The need to count sponges
Intraperitoneal gossypibomas: The need to count sponges
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DOI：
10.1007/s002689910084
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发表时间：
2000-05-01
影响因子：
2.6
通讯作者：
Van Hee, RH
中科院分区：
文献类型：
--
作者：
Lauwers, PR;Van Hee, RH
无论是否伴有细菌感染，腹膜内被遗忘的异物容易产生粘连和包裹，或引起渗出性反应。通常会启动自挤出过程。保留手术海绵的棉球也是如此。临床表现可能是假瘤、闭塞或败血症综合征；然而，有几个病例长达几十年都没有症状。超声波和放射学(特别是计算机断层扫描)对棉铃瘤的检测有很大贡献；磁共振成像是一种较少使用的技术。用普通射线照相进行检测是困难的。超声显示高反射性肿块，边缘低回声，后方阴影较强，CT显示清楚的肿块，内部密度不均匀。治疗包括手术取出异物并解决其并发症。在现有文献报道的基础上增加了一系列的五个病例，回顾了腹膜内被遗忘的外科海绵的命运。
Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow, Computed tomography shows a well defined mass with internal heterogenous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed.