Outcome of retained intra-abdominal foreign body managed in a general surgical service in Ibadan: a case series | Nigerian Medical Journal

Omobolaji O Ayandipo

Department of Surgery, University College Hospital, Ibadan, Oyo State & College of Medicine, University of Ibadan, Oyo State, Nigeria

Oludolapo O Afuwape

Department of Surgery, University College Hospital, Ibadan, Oyo State, & College of Medicine, University of Ibadan, Oyo State, Nigeria

Adefemi O Afolabi

Department of Surgery, University College Hospital, Ibadan, Oyo State, & College of Medicine, University of Ibadan, Oyo State, Nigeria

Taiwo A Lawal

Department of Surgery, University College Hospital, Ibadan, Oyo State, & College of Medicine, University of Ibadan, Oyo State, Nigeria

Oluwabukade T Ojediran

Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria

Oluwasanmi A Ajagbe

Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria

Philip A Ekhaiyeme

Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria

Adegbolahan J Fakoya

Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria

Temidayo O Ogundiran

Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria

Keywords

Foreign Body, Retained, Intraabdominal

Abstract

Retained intra-abdominal foreign bodies are rare and most occur following abdominal or gynaecological surgery. Sponges are the most retained foreign body. The foreign bodies range from surgical instruments, including abdominal pads and gauze to artery forceps; to a pen cap. Retained objects can also be self-inserted.
The authors report a case series on the outcome of retained foreign bodies in the intra-abdominal cavity managed in the general surgery service of the University College Hospital, Ibadan over a 12-year period.

Abstract 156 | PDF Downloads 157 EPUB Downloads 108

References

1. Gibbs VC, Coakley FD, Reines HD. Preventable Errors in the Operating Room: Retained Foreign Bodies after Surgery-Part I. Curr Probl Surg. 2007 May;44(5):281–337.

2. Gawande AA, Studdert DM, John Orav E, Brennan TA, Zinner MJ. Risk Factors for Retained Instruments and Sponges after Surgery. N Engl J Med. 2003 Jan 16;348(3):229-35.

3. Godara R, Sen J, Singh R, Ahuja V, Dhingra A, Godara S. Retained Forceps : An Unusual Cause of Intestinal Obstruction. Asian J Surg. 2008 Jul;31(3):148-50.

4. Fadiora SO, Olatoke SA, Bello TO, Adeoti ML, Agodirin SO. Intestinal obstruction from a forgotten artery forceps: A case report. West Afr J Med. 2004 Oct-Dec;23(4):330-1.

5. Ugochukwu AI, Edeh AJ. Retained intra-abdominal artery forceps - An unusual cause of intestinal strangulation. N Am J Med Sci. 2011 Jul;3(7):339–43.

6. Alzahrani S, Alqahtani A. Laparoscopic Removal of Retained Artery Forceps Causing Internal Hernia. SOJ Surgery 2016;3(3):1-3

7. Irabor DO. Under-reporting of gossypiboma in a third-world country. A sociocultural view. Health 2012;4:56–9.

8. Patial T, Thakur V, Vijhay Ganesun N, Sharma M. Gossypibomas in India - A systematic literature review. J Postgrad Med. 2017 Jan-Mar;63(1):36-41.

9. Dakubo J, Clegg-Lamptey J, Hodasi W, Obaka H, Toboh H, Asempa W. An Intra-Abdominal Gossypiboma. Ghana Med J. 2009 Mar;43(1):43-5.

10. Sharma D, Pratap A, Tandon A, Shukla RC, Shukla VK. Unconsidered cause of bowel obstruction--gossypiboma. Can J Surg. 2008 Apr;51(2): E34-5.

11. Roberts OA, Afuwape OO. Intra ‑ abdominal gossypiboma with feacal fistula, laparotomy, removal, and drainage. Trop J Obstet Gynaecol 2016;33(2):250–3.

12. Sozutek A, Yormaz S, Kupeli H, Saban B. Transgastric migration of gossypiboma remedied with endoscopic removal: A case report. BMC Res Notes 6, 413 (2013)

13. Ogundiran T, Ayandipo O, Adeniji-Sofoluwe A, Ogun G, Oyewole O, Ademola A. Gossypiboma: Complete transmural migration of retained surgical sponge causing small bowel obstruction. BMJ Case Rep. 2011 Jun 29;2011:bcr0420114073.

14. Akhator A Retained Artery Forceps that Migrated into the Large Intestine. JCR 2016;6:191-194.

15. Yorke J, Agbeko E, Amoah G, Abantanga FA. Intestinal Obstruction Secondary to an Intra-Abdominal Foreign Body. J. Medical Biomed. Sci. 2013;2:1–5.

16. Susmallian S, Raskin B, Barnea R. Surgical sponge forgotten for nine years in the abdomen: A case report. Int J Surg Case Rep. 2016;28:296-299.

17. Pant PR, Ghimire A, Subedi N, Pant SR, Shrestha A. Gossypiboma can remain asymptomatic for a long time. Gd Med J. 2019;1(1):63-65.

18. Pushplata S, Devyani M, Pyari JS, Deo S. Bizarre Foreign Objects in the Genital Tract-Our Experience and Review of Literature. Open Journal of Obstetrics and Gynaecology 2014;4:427–31.

19. Gibbs VC. Patient Safety Practices in the Operating Room : Correct-Site Surgery and Nothing Left Behind. The Surgical Clinics of North America 2005;85:1307–19.

20. Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained Foreign Bodies After Surgery. J Surg Res. 2007 Apr;138(2):170–4.

PDF EPUB

Published

Jun 20, 2024

DOI https://doi.org/10.60787/nmj.v65i3.328

How to Cite

Ayandipo, O., Afuwape, O., Afolabi, A., Lawal, T., Ojediran, O., Ajagbe, O., Ekhaiyeme, P., Fakoya, A., & Ogundiran, T. (2024). Outcome of retained intra-abdominal foreign body managed in a general surgical service in Ibadan: a case series. Nigerian Medical Journal, 65(3), 376–386. https://doi.org/10.60787/nmj.v65i3.328

Issue

Vol. 65 No. 3 (2024): May to June

Section

Case reports or Series

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This is an open-access journal and articles are distributed under the terms of the Creative Commons Attribution Non-Commercial Share-Alike License 4.0. This licence allows users to download and share, remix, tweak and build upon the article for non-commercial purposes, so long as the original authorship is acknowledged and the new creations are licensed under identical terms.