• 제목/요약/키워드: Gossypiboma

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시츄견에서 Polypropylene mesh를 이용한 gossypiboma에 의한 복막 결손 수복 증례 (Using of Polypropylene Mesh for Peritoneal Defect induced Gossypiboma in a Shih-Tzu Dog)

  • 강은희;장화석;정다정;이재훈;이영수;양우종;김대현;정욱헌;최치봉;김휘율
    • 한국임상수의학회지
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    • 제26권1호
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    • pp.58-61
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    • 2009
  • 10세령의 중성화된 암컷 시츄가 하부 복부의 왼쪽 부분의 종창으로 인해 건국대학교 수의과대학 부속동물병원에 내원하였다. 축주는 본원에 내원하기 두달전에 환축의 하부 복부의 종창과 촉진되는 덩어리를 확인하였다. 환축을 방사선과 초음파검사를 실시하고, 수술 중 방광과 소장 사이에 있는 복강내 gossypiboma로 인해 복강내 유착이 심한 것을 확인할 수 있었다. 그 gossypiboma를 복강내에서 제거되었지만, 복막을 수복하기에 결손이 커서 polypropylene mesh를 이용하였다. 수술 후 하부 복부의 종창 등은 확인할 수 없었으며, 6개월동안 아무런 합병증이 발견되지 않았다.

개에서 복강내 잔존한 거즈 이물의 진단영상 (Diagnostic Imaging Features of Abdominal Foreign Body in Dogs; Retained Surgical Gauze)

  • 최지혜;김계동;계서연;장재영;최희연;윤정희
    • 한국임상수의학회지
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    • 제28권1호
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    • pp.94-100
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    • 2011
  • This study was performed to describe the radiographic and ultrasonographic features of retained surgical gauze known as gossypiboma in 9 dogs. Female dogs (n = 8) were at higher risk and seven out of the eight cases had a history of ovariohysterectomy. Seven dogs were symptomatic and the most common clinical signs were vomiting, anorexia, and inertia. A palpable abdominal mass was detected in six dogs. Radiographic signs included a localized abdominal mass with soft tissue density (n = 7) or a mass containing speckled gas (n = 1). Ultrasonography showed a hypoechoic mass with a hyperechoic center (n = 4), or a homogeneous hypoechoic mass (n = 3). The remaining dogs (n = 2) showed an intestinal wall surrounding a hyperechoic center. Regardless of the characteristics of a mass, an acoustic shadowing was accompanied from the center of a mass in all dogs. Ultrasonography also revealed complications such as adhesion between a mass and adjacent organs, and peritonitis and intestinal obstruction around a mass. The gossypiboma can be considered when a hypoechoic mass accompanying a hyperechoic center with acoustic shadowing is observed on ultrasound examination.

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

  • Lee, Sung-Jun;Jeong, Soon-Wuk;Eom, Ki-Dong;Shin, Jong-Il;Yoon, Hun-Young
    • 한국임상수의학회지
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    • 제33권2호
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    • pp.116-121
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    • 2016
  • 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.