Cuerpos extraños en abdomen: presentación de casos y revisión bibliográfica
Palabras clave:
tapones quirúrgicos de gaza, reacción a cuerpo extraño, diagnóstico, evolución clínica, complicacionesResumen
Los cuerpos extraños en abdomen constituyen un grupo de pseudotumores que corresponden a material no absorbible que, a diferencia de otros, no cumple ningún efecto terapéutico. Constituyen una complicación de un procedimiento quirúrgico o una nueva patología para el paciente, que obedece a un suceso iatrogénico de gran morbimortalidad y causan dificultades diagnósticas, sobrecostos y posibles problemas médico-legales. Con el advenimiento de la cirugía por laparoscopia (cirugía mínimamente invasiva), su incidencia ha descendido en forma importante.
Se presenta un reporte de 6 casos cuyos curso clínico, complicaciones, estudios diagnósticos y tratamiento describen ampliamente las características de esta patología.
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Referencias bibliográficas
1. DÍAZ J, TANTALEÁN E, BALMACEDA T, HONORIO CE, BARANDIARÁN MA, VILELA E, et al. Cuerpo extraño en abdomen: a propósito de un caso. Rev Gastroenterol Perú. 2001;21:229-33.
2. KAISER W, FRIEDMAN S, PFEIFER K, SLOWICK T, KAISER H. The retained surgical sponge. Ann Surg. 1996;224:79-84.
3. CUSTOVIC RK, KROLO I, MAROTTI M, BABIC N, KARAPANDA N. Retained surgical textilomas occur more often during war. Croat Med J. 2004;45:422-6.
4. NÚÑEZ E, SARAVIA C. Obstrucción intestinal por oblito quirúrgico. Rev Med Hered. 2004;15:55-60.
5. O’CONNOR A, COAKLEY F, MENG M, EBERHARDT S. Imaging of retained surgical sponges in the abdomen and pelvis. AJR. 2003;180:481-9.
6. GAWANDE A, STUDDERT D, ORAV E, BRENNAN T, ZINNER M. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348:229-35.
7. 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;177:389-91.
8. REGUEIRO P, MATEO EM, LÓPEZ A, GARCÍA A, RONCALÉS A, RIOJA LA. Cuerpo extraño simulando tumor renal. Actas Urol Esp. 2004;28:390-2.
9. MURAD M, BARI V. Gossypiboma a case report. Pak J Med Sci. 2003;19:138-40.
10. TAÇYILDIZ I, ALDEMIR M. The mistakes of surgeons: “gossypiboma”. Acta Chir Belg. 2003;103:71-5.
11. SHYUNG LR, CHANG WH, LIN SC, SHIH SC, KAO CR, CHOU SY. Report of gossypiboma from the standpoint in medicine and law. World J Gastroenterol. 2005;11:1248-9.
12. TINKER MA, BURDMAN D, DEYSINE M, TEICHER I, PLATT. N, AUFSES AH. Granulomatous peritonitis due to cellulose fibers from disposable surgical fabrics: laboratory investigation and clinical implications. Ann Surg. 1974;180:831-5.
13. DESCHAMPS JY, ROUX FA. Extravesical textiloma (gossypiboma) mimicking a bladder tumor in a dog. J Am Anim Hosp Assoc. 2009;45:89-92.
14. MENASSA-MOUSSA L, ELIAS T, SMAYRA T, TABET G, DABAR G, AOUN N, GHOSSAIN M. Intrathoracic gossypiboma thirthy yeras after thoracotomy. J Radiol. 2008;89:1764-6.
15. KANSAKAR R, THAPA P, ADHIKARI S. Intraluminal migration of Gossypiboma without intestinal obstruction for fourteen years. JNMA J Nepal Med Assoc. 2008;47:136-8.
16. AMINIAN A. Gossypiboma: a case report. Cases J. 2008;1:220.
17. POSSOVER M. Images in clinical medicine. Gossypiboma in thye pouch of Douglas. N Engl J Med. 2008;359:e9.
18. LOURENCO SC, BAPTISTA A, PACHECO H, MALHADO J. A misplaced surgical towel - a rare cause of fever of unknown origin. Eur JU Intern Med. 2008;19:377-8.
19. MURPHY CF, STUNELL H, TORREGGIANI WC. Diagnosis of gossypiboma of the abdomen and pelvis. AJR Am J Roentgenol. 2008;190:W382.
20. MAHALIK SK, PUNEET, GUPTA SK, KHANNA AK. Gossypiboma: intramural and transmural migration causing small bowel obstruction. ANZ J Surg. 2008;78:417-8.
21. YU JO, MILESTONE BN, PARSONS RB, DOSS M, HAAS N. Findings of intramediastinal gossypiboma with f-18 FDG PET in a melanoma patient. Clin Nucl Med. 2008;33:344-5.
22. ERDIL A, KILCILER G, ATES Y, TUZUN A, GULSEN M, KARAEREN N, DAGALP K. Transgastric migration of retained intraabdominal surgical sponge: gossypiboma in the bulbus. Intern Med. 2008;47:613-5.
23. SHARMA D, PRATAP A, TANDON A, SHUKLA RC, SHUKLA VK. Unconsidered cause of bowel obstruction - gossypiboma. Can J Surg. 2008;51:E34-5.
24. THOMAS BG, SILVERMAN ED. Focal uptake of Tc-99m MDP in a gossypiboma. Clin Nucl Med. 2008;33:290-1.
25. KOMINAMI M, FUJIKAWA A, TAMURA T, NAOI Y, HORIKAWA O. Retained surgical sponge in the thigh: report of the third known case in the limb. Radiation Medicine. 2003;21:220-2.
26. LO CP, HSU CC, CHANG TH. Gossypiboma of the leg: MR imaging characteristics. A case report. Korean J Radiol. 2003;4:191-3.
27. MALIK A, JAGMOHAN P. GOSSYPIBOMA: US and CT appearance. Ind J Radiol Imag. 2002;12:503-4.
28. GOODWING GA. Ultrasonography of foreign bodies. West J Med. 1994;160:455.
29. LU YY, CHEUNG YC, KO SF, NG SH. Calcified reticulate rind sign: a characteristic feature of gossypiboma on computed tomography. World J Gastroenterol. 2005;11:4927-9.
30. RIJKEN MJ, VAN OVERBEEKE AJ, STAAKS GH. Gossypiboma in a man with persistent cough. Thorax. 2005;60:708.
31. PONCELET AJ, WATREMEZ C, TACK D, NOIRHOMME P. Paracardiac opacity following inferior and middle-lobe resection for bronchogenic carcinoma: unsuspected diagnosis. Chest. 2005;128:439-41.
32. CHOI BI, KIM SH, VU ES, CHENG HS, HAN MC, KIM CW. Retained surgical sponge: diagnosis with CT and sonography. AJR. 1988;150:1047-50.
33. ZBAR AP, AGRAWAL A, SAEEDI IT, UTIDJIANS MR. Gossypiboma revisited: a case report and review of the literature. J R Coll Surg Edinb. 1998;43:417-8.
34. CHOI JW, LEE CH, KIM KA, PARK CM, KIM JY. Transmural migration of surgical sponge evacuated by defecation: mimicking an intraperitoneal gossypiboma. Korean J Radiol. 2006;7:212-4.
35. ROBBINS S, KUMAR V, COTRAN R. Patología humana. 6ª edición. México (D.F.): Mc Graw-Hill Interamericana Editores; 1999. p.46-7.
36. ERSOY H, BARUTÇU O, YILDIRIM T. Abdominal gossypiboma: ultrasonography and computerized tomography findings. Turk J Gastroenterol. 2004;15:65-6.
37. LUIJENDIJK RW, DE LANGE DC, WAUTERS CC, HOP WC, DURON JJ, PAILLER JL, et al. Foreign material in postoperative adhesions. Ann Surg.1996;223:242-8.
38. TUSCHKA OJ. Intraperitoneal oil granuloma. California Medicine. 1961;95:118-9. 39. POSTLETHWAIT RW. Five year study of tissue reaction to synthetic sutures. Ann Surg. 1979;190:54-7.
40. WARREN CW, WYATT JI. Gallstones spilt at laparoscopic cholecystectomy: a new cause of intraperitoneal granulomas. J Clin Pathol. 1996;49:84-5.
41. GAONA LF, CUBIDES OJ, BORRERO PM, FONSECA JE, MARTÍNEZ JM, SOLÓRZANO CR, et al. El error diagnóstico no siempre genera responsabilidad. Médico Legal 2006;3:28-34.
42. FRANCO A. La seguridad clínica de los pacientes: entendiendo el problema. Colomb Med. 2005;36:130-3.
43. JARAMILLO O. Sobre el derecho a la imperfección. Rev Colomb Cir. 2003;18:2-5.
44. FRANCO A. Cirugías más seguras: el factor cirujano. Rev Colomb Cir. 2003;18:196-202.
45. FRANCO A. Iatrogenia en cirugía ¿cómo evitarla? Rev Colomb Cir. 2006;21:15-22
46. HAZARIKA K, BARUA SK. Gossypiboma. Ind J Radiol Imag. 2000;10:188-9
47. GENCOSMANOGLU R, INCEOGLU R. An unusual cause of small bowel obstruction: gossypiboma - case report. BMC Surgery. 2003;3:1-6.
48. TOPNO N, GOPASETTY M, KUDVA A, LOKESH B. Abdominal epilepsy and foreign body in the adbomen - dilemma in diagnosis of abdominal pain. Yonsei Med J. 2005;46:870-3.
49. BROWN M, SCHABEL S. Retained laparotomy sponge (gossypiboma). AR Online. 2004;33(1). Fecha de consulta: 16 de octubre de 2006. Disponible en: http://www.library.musc.edu/ page.php?id=1183&skippage=3&id= 1183&year=2004
50. LIN TY, CHUANG CK, WONG YC, LIAO HC. Gossypiboma: migration of retained surgical gauze and spontaneous transurethral protrusion. BJU International. 1999;84:879-80.
51. GODARA R, MARWAH S, KARWASRA RK, GOEL R, SEN J, SINGH R. Spontaneous transmural migration of surgical sponges. Asian J Surg. 2006;29:44-5.
52. CERWENKA H, BACHER H, KORNPRAT P, MISCHINGER HJ. Gossypiboma of the liver: CT, MRI and intraoperative ultrasonography findings. Dig Surg. 2005;22:311-2.
53. HUNTER TB, TALJANOVIC MS. Foreign bodies. RadioGraphics. 2003;23:731-57.
54. KOKUBO T, ITAI Y, OHTOMO K, YOSHIKAWA K, LIO M, ATOMI Y. Retained surgical sponges: CT and US appearance. Radiology. 1987;165:415-8.
55. RAJPUT A, LOUD PA, GIBBS JF, KRAYBILL WG. Diagnostic challenges in patients with tumors. Journal of Clinical Oncology. 2003;21:3700-5.
56. KHANNA S, POKHREL H, BASNET N, CHUNI N. Gossypiboma - a case report. J Nepal Med Assoc. 2003;42:364-5.
2. KAISER W, FRIEDMAN S, PFEIFER K, SLOWICK T, KAISER H. The retained surgical sponge. Ann Surg. 1996;224:79-84.
3. CUSTOVIC RK, KROLO I, MAROTTI M, BABIC N, KARAPANDA N. Retained surgical textilomas occur more often during war. Croat Med J. 2004;45:422-6.
4. NÚÑEZ E, SARAVIA C. Obstrucción intestinal por oblito quirúrgico. Rev Med Hered. 2004;15:55-60.
5. O’CONNOR A, COAKLEY F, MENG M, EBERHARDT S. Imaging of retained surgical sponges in the abdomen and pelvis. AJR. 2003;180:481-9.
6. GAWANDE A, STUDDERT D, ORAV E, BRENNAN T, ZINNER M. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348:229-35.
7. 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;177:389-91.
8. REGUEIRO P, MATEO EM, LÓPEZ A, GARCÍA A, RONCALÉS A, RIOJA LA. Cuerpo extraño simulando tumor renal. Actas Urol Esp. 2004;28:390-2.
9. MURAD M, BARI V. Gossypiboma a case report. Pak J Med Sci. 2003;19:138-40.
10. TAÇYILDIZ I, ALDEMIR M. The mistakes of surgeons: “gossypiboma”. Acta Chir Belg. 2003;103:71-5.
11. SHYUNG LR, CHANG WH, LIN SC, SHIH SC, KAO CR, CHOU SY. Report of gossypiboma from the standpoint in medicine and law. World J Gastroenterol. 2005;11:1248-9.
12. TINKER MA, BURDMAN D, DEYSINE M, TEICHER I, PLATT. N, AUFSES AH. Granulomatous peritonitis due to cellulose fibers from disposable surgical fabrics: laboratory investigation and clinical implications. Ann Surg. 1974;180:831-5.
13. DESCHAMPS JY, ROUX FA. Extravesical textiloma (gossypiboma) mimicking a bladder tumor in a dog. J Am Anim Hosp Assoc. 2009;45:89-92.
14. MENASSA-MOUSSA L, ELIAS T, SMAYRA T, TABET G, DABAR G, AOUN N, GHOSSAIN M. Intrathoracic gossypiboma thirthy yeras after thoracotomy. J Radiol. 2008;89:1764-6.
15. KANSAKAR R, THAPA P, ADHIKARI S. Intraluminal migration of Gossypiboma without intestinal obstruction for fourteen years. JNMA J Nepal Med Assoc. 2008;47:136-8.
16. AMINIAN A. Gossypiboma: a case report. Cases J. 2008;1:220.
17. POSSOVER M. Images in clinical medicine. Gossypiboma in thye pouch of Douglas. N Engl J Med. 2008;359:e9.
18. LOURENCO SC, BAPTISTA A, PACHECO H, MALHADO J. A misplaced surgical towel - a rare cause of fever of unknown origin. Eur JU Intern Med. 2008;19:377-8.
19. MURPHY CF, STUNELL H, TORREGGIANI WC. Diagnosis of gossypiboma of the abdomen and pelvis. AJR Am J Roentgenol. 2008;190:W382.
20. MAHALIK SK, PUNEET, GUPTA SK, KHANNA AK. Gossypiboma: intramural and transmural migration causing small bowel obstruction. ANZ J Surg. 2008;78:417-8.
21. YU JO, MILESTONE BN, PARSONS RB, DOSS M, HAAS N. Findings of intramediastinal gossypiboma with f-18 FDG PET in a melanoma patient. Clin Nucl Med. 2008;33:344-5.
22. ERDIL A, KILCILER G, ATES Y, TUZUN A, GULSEN M, KARAEREN N, DAGALP K. Transgastric migration of retained intraabdominal surgical sponge: gossypiboma in the bulbus. Intern Med. 2008;47:613-5.
23. SHARMA D, PRATAP A, TANDON A, SHUKLA RC, SHUKLA VK. Unconsidered cause of bowel obstruction - gossypiboma. Can J Surg. 2008;51:E34-5.
24. THOMAS BG, SILVERMAN ED. Focal uptake of Tc-99m MDP in a gossypiboma. Clin Nucl Med. 2008;33:290-1.
25. KOMINAMI M, FUJIKAWA A, TAMURA T, NAOI Y, HORIKAWA O. Retained surgical sponge in the thigh: report of the third known case in the limb. Radiation Medicine. 2003;21:220-2.
26. LO CP, HSU CC, CHANG TH. Gossypiboma of the leg: MR imaging characteristics. A case report. Korean J Radiol. 2003;4:191-3.
27. MALIK A, JAGMOHAN P. GOSSYPIBOMA: US and CT appearance. Ind J Radiol Imag. 2002;12:503-4.
28. GOODWING GA. Ultrasonography of foreign bodies. West J Med. 1994;160:455.
29. LU YY, CHEUNG YC, KO SF, NG SH. Calcified reticulate rind sign: a characteristic feature of gossypiboma on computed tomography. World J Gastroenterol. 2005;11:4927-9.
30. RIJKEN MJ, VAN OVERBEEKE AJ, STAAKS GH. Gossypiboma in a man with persistent cough. Thorax. 2005;60:708.
31. PONCELET AJ, WATREMEZ C, TACK D, NOIRHOMME P. Paracardiac opacity following inferior and middle-lobe resection for bronchogenic carcinoma: unsuspected diagnosis. Chest. 2005;128:439-41.
32. CHOI BI, KIM SH, VU ES, CHENG HS, HAN MC, KIM CW. Retained surgical sponge: diagnosis with CT and sonography. AJR. 1988;150:1047-50.
33. ZBAR AP, AGRAWAL A, SAEEDI IT, UTIDJIANS MR. Gossypiboma revisited: a case report and review of the literature. J R Coll Surg Edinb. 1998;43:417-8.
34. CHOI JW, LEE CH, KIM KA, PARK CM, KIM JY. Transmural migration of surgical sponge evacuated by defecation: mimicking an intraperitoneal gossypiboma. Korean J Radiol. 2006;7:212-4.
35. ROBBINS S, KUMAR V, COTRAN R. Patología humana. 6ª edición. México (D.F.): Mc Graw-Hill Interamericana Editores; 1999. p.46-7.
36. ERSOY H, BARUTÇU O, YILDIRIM T. Abdominal gossypiboma: ultrasonography and computerized tomography findings. Turk J Gastroenterol. 2004;15:65-6.
37. LUIJENDIJK RW, DE LANGE DC, WAUTERS CC, HOP WC, DURON JJ, PAILLER JL, et al. Foreign material in postoperative adhesions. Ann Surg.1996;223:242-8.
38. TUSCHKA OJ. Intraperitoneal oil granuloma. California Medicine. 1961;95:118-9. 39. POSTLETHWAIT RW. Five year study of tissue reaction to synthetic sutures. Ann Surg. 1979;190:54-7.
40. WARREN CW, WYATT JI. Gallstones spilt at laparoscopic cholecystectomy: a new cause of intraperitoneal granulomas. J Clin Pathol. 1996;49:84-5.
41. GAONA LF, CUBIDES OJ, BORRERO PM, FONSECA JE, MARTÍNEZ JM, SOLÓRZANO CR, et al. El error diagnóstico no siempre genera responsabilidad. Médico Legal 2006;3:28-34.
42. FRANCO A. La seguridad clínica de los pacientes: entendiendo el problema. Colomb Med. 2005;36:130-3.
43. JARAMILLO O. Sobre el derecho a la imperfección. Rev Colomb Cir. 2003;18:2-5.
44. FRANCO A. Cirugías más seguras: el factor cirujano. Rev Colomb Cir. 2003;18:196-202.
45. FRANCO A. Iatrogenia en cirugía ¿cómo evitarla? Rev Colomb Cir. 2006;21:15-22
46. HAZARIKA K, BARUA SK. Gossypiboma. Ind J Radiol Imag. 2000;10:188-9
47. GENCOSMANOGLU R, INCEOGLU R. An unusual cause of small bowel obstruction: gossypiboma - case report. BMC Surgery. 2003;3:1-6.
48. TOPNO N, GOPASETTY M, KUDVA A, LOKESH B. Abdominal epilepsy and foreign body in the adbomen - dilemma in diagnosis of abdominal pain. Yonsei Med J. 2005;46:870-3.
49. BROWN M, SCHABEL S. Retained laparotomy sponge (gossypiboma). AR Online. 2004;33(1). Fecha de consulta: 16 de octubre de 2006. Disponible en: http://www.library.musc.edu/ page.php?id=1183&skippage=3&id= 1183&year=2004
50. LIN TY, CHUANG CK, WONG YC, LIAO HC. Gossypiboma: migration of retained surgical gauze and spontaneous transurethral protrusion. BJU International. 1999;84:879-80.
51. GODARA R, MARWAH S, KARWASRA RK, GOEL R, SEN J, SINGH R. Spontaneous transmural migration of surgical sponges. Asian J Surg. 2006;29:44-5.
52. CERWENKA H, BACHER H, KORNPRAT P, MISCHINGER HJ. Gossypiboma of the liver: CT, MRI and intraoperative ultrasonography findings. Dig Surg. 2005;22:311-2.
53. HUNTER TB, TALJANOVIC MS. Foreign bodies. RadioGraphics. 2003;23:731-57.
54. KOKUBO T, ITAI Y, OHTOMO K, YOSHIKAWA K, LIO M, ATOMI Y. Retained surgical sponges: CT and US appearance. Radiology. 1987;165:415-8.
55. RAJPUT A, LOUD PA, GIBBS JF, KRAYBILL WG. Diagnostic challenges in patients with tumors. Journal of Clinical Oncology. 2003;21:3700-5.
56. KHANNA S, POKHREL H, BASNET N, CHUNI N. Gossypiboma - a case report. J Nepal Med Assoc. 2003;42:364-5.
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Publicado
2009-06-30
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Borráez, O. A.; Borráez, B. A.; Orozco, M.; Matzalik, G. Cuerpos extraños En Abdomen: Presentación De Casos Y revisión bibliográfica. Rev Colomb Cir 2009, 24, 114-122.
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