Gossypiboma - Rare Cause of Rectovaginal Fistula: A Case Report
Asian Journal of Case Reports in Surgery,
Gossypiboma is the term used when a surgical sponge is left unknowingly in the patient’s body after a surgical procedure. It is a grave but preventable complication of surgery which can lead to serious medico-legal complications. It may either present early with/without lump formation or may remain asymptomatic for a long time with only vague symptoms. However, gossypiboma leading to the formation of a rectovaginal fistula is extremely rare.
We report a case of a 40-year lady who presented with vague pain abdomen and passage of stools and flatus per vagina. She had a history of total abdominal hysterectomy eight months back done at an outside hospital. A computed tomography (CT) revealed a retained surgical sponge and a fistulous tract between the rectum and vagina. Exploratory laparotomy was done at our institution and the surgical sponge was extracted from a mass comprising of distal ileum and sigmoid colon. Bowel continuity was restored with an ileal diversion.
- rectovaginal fistula
- retained surgical sponge.
How to Cite
Colak T, Olmez T, Turkmenoglu O, Dag A. Small bowel perforation due to gossypiboma caused acute abdomen. Case Reports in Surgery. Article ID 219354. 2013;2013:3.
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