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Information Journal Paper

Title

SIMULTANEOUS EXTRACTION OF A RETAINED SURGICAL GAUZE FROM BLADDER AND UTERUS 17 YEARS AFTER CESAREAN SECTION: A RARE CASE REPORT

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Abstract

 Introduction: Gossypiboma is defined as retained foreign object (sponge, needle, and instrument) in patient’s corpus after operation that is recognized as a medical error. It may induce catastrophic implications for the patient and medical care providers. We present a case with a 17-year-old gossypiboma after CESAREAN SECTION.Case Presentation: A 49-year-old woman was admitted to the outpatient clinic of Rasool-e-Akram hospital of Tehran, Iran, in 2016 presenting with abnormal uterine bleeding (AUB), abdominal pain, and urinary symptoms for many years. She underwent hysteroscopy. Operative findings included intrauterine synechiae and a polypoid lesion. Besides, a thread-like foreign body was observed in the anterior surface of the uterine cavity, which was suspected as a CESAREAN SECTION suture material that was extracted. After hysteroscopy, uterine bleeding stopped although abdominal pain and urinary symptoms maintained. Voiding cystourethrogram (VCUG) and MRI revealed a mass between uterus and bladder. Then, laparotomy was performed. After opening the abdominal wall under general anesthesia, we explored internal organs and encountered a necrotic mass revealing an old organized gauze between bladder and uterus, which infiltrated the uterus and trigon. It was extracted and then, hysterectomy and bladder repair were carried out. Conclusions: SURGICAL SPONGES are the most common foreign materials retained in abdominal cavity.

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    APA: Copy

    ROKHGIREH, SAMANEH, MEHDIZADEHKASHI, ABOLFAZL, CHAICHIAN, SHAHLA, VAHDAT, MANSOUREH, Nazari, Leila, TAJBAKHSH, BANAFSHEH, & NIKFAR, BANAFSHEH. (2017). SIMULTANEOUS EXTRACTION OF A RETAINED SURGICAL GAUZE FROM BLADDER AND UTERUS 17 YEARS AFTER CESAREAN SECTION: A RARE CASE REPORT. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 19(8), 0-0. SID. https://sid.ir/paper/293542/en

    Vancouver: Copy

    ROKHGIREH SAMANEH, MEHDIZADEHKASHI ABOLFAZL, CHAICHIAN SHAHLA, VAHDAT MANSOUREH, Nazari Leila, TAJBAKHSH BANAFSHEH, NIKFAR BANAFSHEH. SIMULTANEOUS EXTRACTION OF A RETAINED SURGICAL GAUZE FROM BLADDER AND UTERUS 17 YEARS AFTER CESAREAN SECTION: A RARE CASE REPORT. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2017;19(8):0-0. Available from: https://sid.ir/paper/293542/en

    IEEE: Copy

    SAMANEH ROKHGIREH, ABOLFAZL MEHDIZADEHKASHI, SHAHLA CHAICHIAN, MANSOUREH VAHDAT, Leila Nazari, BANAFSHEH TAJBAKHSH, and BANAFSHEH NIKFAR, “SIMULTANEOUS EXTRACTION OF A RETAINED SURGICAL GAUZE FROM BLADDER AND UTERUS 17 YEARS AFTER CESAREAN SECTION: A RARE CASE REPORT,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 19, no. 8, pp. 0–0, 2017, [Online]. Available: https://sid.ir/paper/293542/en

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