揭开隐藏的危险:一个罕见的老年妇女膀胱疱疹病例

Vinay H G, Naveen N, Ramprashanth M P
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摘要

背景:外科领域的革命性发展使得与外科手术相关的并发症比过去大大减少。然而,一些直接表明外科医生疏忽的并发症也不容小觑。棉花异物瘤(Gossypibomas)是一种罕见但可怕的手术并发症,当棉花异物滞留在患者体内,经过很长时间才被发现。手术方法一名 46 岁的贫血糖尿病女性,曾因宫颈癌(IA2 期)接受过手术治疗,其特征显示为亚急性肠梗阻。检查结果腹部对比增强计算机断层扫描(CECT)显示,远端肠襻有一个线状高增强弦样结构,提示有异物残留。患者被立即送往医院进行剖腹探查手术,并取出了残留异物。结论尽管戈西腓骨瘤的诊断有时具有挑战性,但必须迅速、准确地处理这种罕见并发症的患者,以防止将来造成永久性残疾。应让年轻外科医生意识到这种可怕并发症的法律后果,并在怪异的手术环境中预见到这种诊断。
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Unveiling the Hidden Peril: A Rare Case of Gossypiboma in an Elderly Woman
Background: Revolutionary developments in the surgical field have led to a comparative reduction in surgeryassociated complications than in the past. However, some complications, which directly indicate surgeon’s negligence, should not be underestimated. Gossypibomas, a rare but horrifying complication of surgeries, occur when cotton foreign bodies are retained in the patient and are only discovered after long periods of time. Methods: A 46-year-old diabetic anemic female, with a previous history of operative management for cancer of the cervix (stage IA2), presented with features suggesting sub-acute intestinal obstruction. Results: Contrast Enhanced Computed Tomography (CECT) of the abdomen revealed a linear hyper-attenuating string-like structure in the distal bowel loop, suggesting a Retained Foreign Body. The patient was immediately taken up for exploratory laparotomy, and the retained foreign body was removed. Conclusions: Although the diagnosis of Gossypibomas can be challenging at times, it is imperative to manage patients with this rare complication swiftly and precisely to prevent permanent future disabilities. Young surgeons should be made aware of the legal consequences of such a dreaded complication and should anticipate the diagnosis in bizarre surgical circumstances.
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