The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Infected Textiloma, 35 Years after the Operation forFemur Fracture, an extermly rare occurance

Document Type : CASE REPORT

Authors
Amir Reza Sadeghifar
Ali Reza Saeed
Kerman Neuroscience Research Center, Dr Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
10.22038/abjs.2013.1736
Abstract
 
Retained gauze after surgery is an uncommon error and it may be associated with many complications. We are reporting our case to call attention to the fact that retained gauze may become symptomatic even after a very long interval.
Herein we report on a patient who developed infection and fistula with discharge from this error 35 years after a surgery
for femur fracture and insertion of a IM nail. The diagnosis was easily made because of a marker in the gauze. Removal of the gauze and irrigation and debridement of the wound in two stages led to complete recovery of the patient as was shown in the 1 year follow up.
Retained gauze after surgery is a preventable complication and may be asymptomatic for a very long period, but can become a complication post-operatively at any time. Hence, if diagnosed immediately after the surgery or at any other time, the gauze should be removed.
 
Keywords
Surgical sponges
Fracture
Femur
Infection

  1. Manzella A, Filho PB, Albuquerque E, Farias F, Kaercher J. Imaging of gossypibomas: pictorial review. Am J Roentgenol. 2009; 193:94-101.

  2. Kaiser CW, Friedman S, Spurling KP, Slowick T, Kaiser HA. The retained surgical sponge. Ann Surg. 1996; 224(1):79-84.

  3. Serra J, Matias-Guiu X, Calabuig R, Garcia P, Sancho FJ, La Calle JP. Surgical gauze pseudotumor. Am J Surg. 1988; 155(2): 235-7.

  4. Mboti B, Gebhart M, Larsimont D, Abdelkafi K. Textiloma of the thigh presenting as a sarcoma. Acta Orthop Belg. 2001; 67(5):513-8.

  5. Kouwenberg IC, Frölke JP. Progressive ossification due to retained surgical sponge after upper leg amputation: a case report. Cases J. 2009; 2: 85-92.

  6. Arabi K, Beg M, Snowdy H, Whittaker R. Pathological fracture due to retained surgical gauze. J Bone Joint Surg Br. 1992; 74(6):930-1.

  7. Patel AC, Kulkarni GS, Kulkarni SG. Textiloma in the leg. Indian J Orthop. 2007;41(3): 237-8.

  8. Puri A, Anchan C, Jambhekar NA, Agarwal MG, Badwe RA. Recurrent gossypiboma in the thigh. Skeletal Radiol. 2007; 36:95-100.

  9. Wilson CP. Foreign bodies left in the abdomen after laparotomy. Gynecol Tr. 1884; 9: 109-12.

  10. Le Néel JC, De Cussac JB, Dupas B, Letessier E, Borde L, Eloufir M, et al. Textiloma. Apropos of 25 cases and review of the literature. Chirurgie. 1994-1995; 120(5):272-6.

  11. Ben-Izhak O, Kerner H, Brenner B, Lichtig C. Angiosarcoma of the colon developing in a capsule of a foreign body. Report of a case with associated hemorrhagic diathesis. Am J Clin Pathol. 1992; 97(3):416-20.

  12. Pardo AD, Adams WH, McCracken MD, Legendre AM. Primary jejunal osteosarcoma associated with a surgical sponge in a dog. J Am Vet Med Assoc. 1990;196(6):935-8.

  13. Kiernan F, Joyce M, Byrnes CK, O’Grady H, Keane FB, Neary P. Gossypiboma: a case report and review of the literature. Ir J Med Sci. 2008; 177(4):389-91.

  14. Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and eveluation. J Comput Assist Tomogr. 1996; 2:919–23.

The Archives of Bone and Joint Surgery
Volume 1, Issue 1 - Serial Number 1
September 2013
Pages 41-43

  • Receive Date 06 June 2013
  • Revise Date 29 July 2013
  • Accept Date 18 September 2013