Korean J Radiol.  2006 Sep;7(3):212-214. 10.3348/kjr.2006.7.3.212.

Transmural Migration of Surgical Sponge Evacuated by Defecation: Mimicking an Intraperitoneal Gossypiboma

• Choi JW
• Lee CH
• Kim KA
• Park CM
• Kim JY

• KMID: 1114355
• DOI: http://doi.org/10.3348/kjr.2006.7.3.212

Abstract

The spontaneous defecation of the surpical retained sponge is very rare. Here, we report a case of migrating surgical sponge that was retained in the colon and it was evacuated by defecation.

Keyword

Surgical sponge; Foreign bodies; Computed tomography (CT); Colon

MeSH Terms

Surgical Sponges/*adverse effects
Peritoneal Diseases/*etiology/*radiography
Humans
Foreign-Body Migration/*etiology/*radiography
Female
Diagnosis, Differential
*Defecography
*Defecation
Adult

Figure

• 

  Fig. 1 Intracolonic surgical sponge and evacuation in 29-year-old woman. A. Supine plain abdominal radiograph shows the curved metallic foreign body (arrow) and tiny air bubbles in the right middle abdomen. Small "F" shaped metallic density (arrowhead) in pelvic cavity is an artifact from underwear. B. Axial CT scan reveals a thick and enhanced walled mass containing a metallic foreign body and tiny air bubbles at the right mid abdomen. C. A plain abdominal radiograph during surgery shows the metallic lesion (arrow) in the left lower quadrant area. D. The photograph shows a spontaneously expelled surgical sponge on the second day after surgery. Soft tissues attached on both sides were mucus and fecal materials, accompanied by foreign body reaction. E. A plain abdominal radiograph, on the second day after surgery, does not show a metallic lesion in the abdominal and pelvic cavity.

Reference

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