한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제24권2호
  • /
  • Pages.238-243
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  • 2007
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

개의 복강내 잔존 수술용 거즈 2예

Intra-abdominal Retained Surgical Gauze in Two Dogs

  • Choi, Ho-Jung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Ki-Ja (College of Veterinary Medicine, Chungnam National University) ;
  • O, I-Se (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Jae-Yeon (College of Veterinary Medicine, Chungnam National University) ;
  • Jee, Hyun-Chul (College of Veterinary Medicine, Chungnam National University) ;
  • Park, Seong-Jun (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University)
  • 발행 : 2007.06.30
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초록

난소자궁적출술을 실시한 두 마리의 개가 복부 팽만을 주증상으로 내원하였다. 첫 번째 환자는 복부 방사선 검사 결과 복강내 종괴를 확인하였고 초음파 검사 결과 중앙 부위에 불규칙한 영상의 고에코성의 물질을 포함하는 저에코성의 종괴를 관찰하였다. 이어진 세침흡인술 결과 다량의 염증세포를 확인하여 농양으로 잠정진단 후, 외과적 수술하여 복강내 잔존한 거즈에 의한 농양으로 확정 진단하였다. 두 번째 환자는 복부 방사선 검사로 복강내 종괴와 연부조직의 종창을 확인하여 이어진 초음파 검사 결과 타원형의 균질한 고에코를 띠는 종괴를 포함하는 저에코성의 종괴를 관찰하였다. 컴퓨터단층촬영술을 통해 종괴의 둘레로 조영증강효과가 있음을 확인하였고 이어진 세침흡인술 결과, 다량의 염증세포 및 육아종성 세포를 확인하였다. 이에 육아종으로 잠정진단 내린 후, 외과적 수술 결과 복강내 잔존한 거즈에 의한 육아종으로 확정 진단하였다.

This report describes the retained surgical gauze in two dogs that had ovariohysterectomy previously. The elapsed time between surgery and diagnosis of retained surgical gauze in two dogs was 30 and 16 months, respectively. Radiographic signs included localized abdominal mass (case 1, 2) and soft tissue swelling (case 2). Retained surgical gauze was imaged by survey radiography, ultrasonography and computed tomography (CT). Ultrasonography revealed a hypoechoic mass with irregular hyperechoic center in case 1, and hypoechoic mass with oval hyperechoic center and acoustic shadowing in case 2. In CT examination of case 2, hyperdense mass with a thick peripheral rim enhancing in contrast study was shown. Cytologic examination of both cases revealed abscess and granuloma respectively. The lesions were surgically removed. The possibility of retained surgical gauze should be considered in animals with a history of previous surgery with abnormal mass.

키워드

참고문헌

  1. Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma).Asian J Surg 2005; 45:209-211
  2. Bellin M, Homoy B, Richard F, Davy-Miallou C, Fadel Y, Zaim S, Challier E, Grenier P. Perirenal textiloma: MR and serial CT appearance. Eur Radiol 1998; 8: 57-59 https://doi.org/10.1007/s003300050338
  3. Crowe Jr DT, Bjorling DE. Peritoneum and peritoneal cavity. In: Textbook of small animal surgery, 3rd ed. Philadelphia: W. B. Saunders. 2003: 414-445
  4. Gencosmanoglu R, Inceoglu R. An unusual cause of small bowel obstruction: gossypiboma. BMC Surg 2003; 8: 3-6
  5. Hardie EM. General abdominal surgery. In: Complication in small animal surgery, 1st ed. Baltimore: Williams & Wilkins. 1996:333-368
  6. 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. Radiat Med 2003; 21: 220-222
  7. Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and evaluation. J Comput Assist Tomogr 1996; 20: 919-923 https://doi.org/10.1097/00004728-199611000-00009
  8. Lamb CR, White RN, McEvoy FJ. Sinography in the investigation of draining tracts in small animals: retrospective review of 25 cases. Vet Surg 1994; 23: 129-34 https://doi.org/10.1111/j.1532-950X.1994.tb00457.x
  9. Lo CP, Hsu CC, Chang TH. Gossypiboma of the leg: MR imaging characteristics. Korean J Radiol 2003; 4: 191-193 https://doi.org/10.3348/kjr.2003.4.3.191
  10. 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: 4927-4929 https://doi.org/10.3748/wjg.v11.i31.4927
  11. Mai W, Ledieu D, Venturini L, Fournel C, Fau D, Palazzi X, Magnol JP. Ultrasonographic appearance of intra-abdominal granuloma secondary to retained surgical sponge. Vet Radiol Ultrasound. 2001; 42: 157-160 https://doi.org/10.1111/j.1740-8261.2001.tb00919.x
  12. Merlo M, Lamb CR Radiographic and ultrasonographic features of retained surgical sponge in eight dogs. Vet Radiol Ultrasound. 2000; 41: 279-283 https://doi.org/10.1111/j.1740-8261.2000.tb01491.x
  13. 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: 935-938
  14. Prasad S, Krishnan A, Limdi J, Patankar T. Imaging features of gossypiboma: report of two cases. J Postgrad Med 1999; 45: 18-19
  15. Singh R, Mathur RK, Patidar S, Tapkire R. Gossypiboma: its laparoscopic diagnosis and removal. Surg Laparosc Endosc PercutanTech 2004; 14: 304-305
  16. Suwatanapongched T, Boonkasem S, Sathianpitayakul E, Leelachaikul P. Intrathoracic gossypiboma: radiographic and CT findings. Br J Radiol 2005; 78: 851-853 https://doi.org/10.1259/bjr/61657645
  17. Tsioli V, Papazoglou LG, Patsikas MN, Kazakos GM. Retained surgical sponge. Compend Contin Educ Tract Vet 2004; 26: 634-644
  18. Turgut M, Akyuz O, Ozsunar Y, Kacar F. Sponge-induced granuloma('gauzoma') as a complication of posterior lumbar surgery. Neurol Med Chir 2005; 45: 209-211 https://doi.org/10.2176/nmc.45.209
  19. Vayre F, Richard P, Ollivier JP. Intrathoracic gossypiboma: magnetic resonance features. Int J Cardiol 1999; 70: 199-200 https://doi.org/10.1016/S0167-5273(99)00003-0
  20. Wan YL, Huang TJ, Huang DL, Lee TY, Tsai CC. Sonography and computed tomography of a gossypiboma and in vitro studies of sponge by ultrasound. Clin Imaging 1992 16: 256-258 https://doi.org/10.1016/0899-7071(92)90008-W
  21. Zbar AP, Agrawal A, Saeed IT, Utidjian MR. Gossypiboma revisited: a case report and review of the literature. J R Coli Surg Edinb 1998; 43: 417-418