한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제33권2호
  • /
  • Pages.116-121
  • /
  • 2016
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

A Huge Intra-Abdominal Mass Associated with Long-Term Surgical Gauze Retention in a Toy Breed Dog

  • Lee, Sung-Jun (Department of Veterinary Surgery, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Jeong, Soon-Wuk (Department of Veterinary Surgery, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Eom, Ki-Dong (Department of Veterinary Medical Imaging, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Shin, Jong-Il (Department of Veterinary Pathology, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Yoon, Hun-Young (Department of Veterinary Surgery, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University)
  • 투고 : 2015.06.24
  • 심사 : 2016.04.19
  • 발행 : 2016.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 1.83 kg, 9-year-old, spayed female Yorkshire Terrier was referred to the Veterinary Medical Teaching Hospital of Konkuk University for evaluation of an intra-abdominal mass with a week history of vomiting and diarrhea. On physical examination, survey radiography, abdominal ultrasonography, and computed tomography, a huge firm mass was identified in the mid-caudal abdomen. Surgical exploration of the abdominal cavity was performed to remove the mass. The encapsulated mass adhered to the mesentery, tail of the spleen, small intestine, omentum, and right lobe of the pancreas was removed using blunt dissection with dry gauze and cotton swabs. Macroscopic and histopathological examination revealed that the mass was foreign-body granuloma consistent with gauze fiber. Plain abdominal radiography demonstrated no remarkable findings 8 months post-operatively. There was no evidence of vomiting, diarrhea, coughing, difficulty breathing, and cyanosis on exertion 13 months post-operatively.

키워드

참고문헌

  1. Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CW. Retained surgical sponge: diagnosis with CT and sonography. Am J Roentgenol 1988; 150: 1047-1050. https://doi.org/10.2214/ajr.150.5.1047
  2. Choi HJ, Lee KJ, O IS, Lee JY, Jee HC, Park SJ, Jeong SM, Lee YW. Intra-abdominal retained surgical gauze in two dogs. J Vet Clin 2007; 24: 238-243.
  3. Choi JH, Kim GD, Keh SY, Jang JY, Choi HY, Yoon JH. Diagnostic imaging features of abdominal foreign body in dogs; retained surgical gauze. J Vet Clin 2011; 28: 94-100.
  4. Corbin EE, Cavanaugh RP, Fick JL, McAbee KP, Powers B. Foreign body reaction to a retained surgical sponge (gossypiboma) mimicking an implant associated sarcoma in a dog after a tibial plateau levelling osteotomy. Vet Comp Orthop Traumatol 2013; 26: 147-153.
  5. Day JL, Pechman RD, Bahr RJ. Migration of a retained surgical swab into the jejunum in a dog. J Small Anim Pract 2012; 53: 705-708. https://doi.org/10.1111/j.1748-5827.2012.01286.x
  6. Deschamps JY, Roux FA. Extravesical textiloma (gossypiboma) mimicking a bladder tumor in a dog. J Am Anim Hosp Assoc 2009; 45: 89-92. https://doi.org/10.5326/0450089
  7. Forster K, Anderson D, Yool DA, Wright C, Burrow R. Retained surgical swabs in 13 dogs. Vet Rec 2011; 169: 337. https://doi.org/10.1136/vr.d4396
  8. Frank JD, Stanley BJ. Enterocutaneous fistula in a dog secondary to an intraperitoneal gauze foreign body. J Am Anim Hosp Assoc. 2009; 45: 84-88. https://doi.org/10.5326/0450084
  9. Gawende AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003; 348: 229-235. https://doi.org/10.1056/NEJMsa021721
  10. Gifford RR, Plaut MR, McLeary RD. Retained surgical sponge following laminectomy. J Am Med Assoc 1973; 223: 1040.
  11. Haddad JL, Goldschmidt MH, Patel RT. Fibrosarcoma arising at the site of a retained surgical sponge. Vet Clin Pathol 2010; 39: 241-246. https://doi.org/10.1111/j.1939-165X.2009.00209.x
  12. Hyslop JW, Maull KI. Natural history of the retained surgical sponge. South Med J 1982; 75: 657-660. https://doi.org/10.1097/00007611-198206000-00006
  13. Kalovidouris A, Kehagias D, Moulopoulos L, Gouliamos A, Pentea S, Vlahos L. Abdominal retained surgical sponges: CT appearance. Eur Radiol 1999; 9: 1407-1410. https://doi.org/10.1007/s003300050858
  14. Kang EH, Chang HS, Chung DJ, Lee JH, Lee YS, Yang WJ, Kim DH, Chung WH, Choi CB, Kim HW. Using of polypropylene mesh for peritoneal defect induced gossypiboma in a shih-tzu dog. J Vet Clin 2009; 26: 58-61.
  15. Lauwers PR, Hee RHV. Intraperitoneal gossypiboma: the need to count sponges. World J Surg 2000; 24: 521-527. https://doi.org/10.1007/s002689910084
  16. Mai w, Ledieu D, Venturini L, Fournel C, Fau D, Palazzi X, Magnol JP. Utrasonographic appearance of intra-abdomina granuloma secondary to retained surgical sponge. Vet Radiol Ultrasound 2001; 42: 157-160. https://doi.org/10.1111/j.1740-8261.2001.tb00919.x
  17. 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
  18. Miller MA, Aper RL, Fauber A, Blevins WE, Ramos-Vara JA. Extraskeletal osteosarcoma associated with retained surgical sponge in a dog. J Vet Diagn Invest 2006; 18: 224-228. https://doi.org/10.1177/104063870601800218
  19. Moizhess TG. Carcinogenesis induced by Foreign Bodies. Biochemistry (Mosc) 2008; 73: 763-775. https://doi.org/10.1134/S0006297908070043
  20. Olnick HM, Weens HS, Rogers JV. Radiological diagnosis of retained surgical sponges. J Am Med Assoc 1955; 159: 1525-1527. https://doi.org/10.1001/jama.1955.02960330025008
  21. Papazoglou LG, Patsikas MN. What is your diagnosis? a retained surgical sponge. J Small Anim Pract 2001; 42: 325-363. https://doi.org/10.1111/j.1748-5827.2001.tb02466.x
  22. Rappaport W, Haynes K. The retained surgical sponge following intra-abdominal surgery. Arch Surg 1990; 125: 405-407. https://doi.org/10.1001/archsurg.1990.01410150127025
  23. Rayner EL, Scudamore CL, Francis I, Schoniger S. Abdominal fibrosarcoma associated with a retained surgical swab in a dog. J Comp Path 2010; 143: 81-85. https://doi.org/10.1016/j.jcpa.2009.12.009
  24. Risher WH, Mckinnon WM. Foreign body in the gastrointestinal tract: intraluminal migration of laparotomy sponge. South Med J 1991; 3: 135-138.
  25. Serra J, Matias-Guju X, Calabuing R, Garcia P, Sancho FJ, La Calle JP. Surgical gauze pseudotumor. Am J Surg 1988; 155: 235-237. https://doi.org/10.1016/S0002-9610(88)80702-5
  26. Terrier F, Revel D, Hricak H, Feduska N. MRI of a retained sponge in a dog. Magn Reson Imaging 1985; 3: 283-286. https://doi.org/10.1016/0730-725X(85)90358-3
  27. Williams RG, Bragg DG, Nelsom JA. Gossypiboma: the problem of the retained surgical sponge. Radiology 1978; 129: 323-326. https://doi.org/10.1148/129.2.323
  28. Wittmann DH. The compartment syndrome of the abdominal cavity. J Intensive Care Med 2000; 15: 210-220.
  29. Yildirim S, Tarim A, Nursal TZ, Yildirim T, Caliskan K, Torer N, Karagulle E, Noyan T, Moray G, Haberal M. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg 2006; 391: 390-395. https://doi.org/10.1007/s00423-005-0581-4