Late diagnosis abdominal oblitoma
Keywords:
oblitoma, textileoma, imaging findings.Abstract
Introduction: Foreign bodies abandoned in the abdomen during an exploratory laparotomy were described by Wilson CP, in 1884. Their diagnosis is a challenge for surgeons and imaging specialists due to their nonspecific clinical manifestations and their varied imaging appearance.Objective: To present a case of unusually late abdominal oblitoma diagnosis, after 26 years of surgery and with atypical imaging findings.
Clinical case: A 46-year-old female patient is presented, who underwent caesarean section delivery 26 years ago. He went to the surgery consult referring one year evolution abdominal pain in the right upper quadrant. A palpable tumor, confirmed by imaging studies was found. Electively operated, an oblitoma was diagnosed.
Conclusions: Most cases are diagnosed in the immediate postoperative period as a consequence of the complications or during the first years of evolution. In this case, a predominantly liquid textile oblitoma was found.
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References
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2. Rajiv S, Raju W, Zansher N. Textiloma presenting as a lump in abdomen: A case report. Int J Surg Case Rep. 2020; 77: 206-209. DOI: 10.1016/j.ijscr.2020.10.081
3. Chinelli J, Olivera E, Rodríguez G. Oblitos en Cirugía. Análisis de casuística y estrategias para su prevención. An Facultad Med. 2017 [acceso: 23/02/2022]; 4(2):47-65. Disponible en: https://revistas.udelar.edu.uy/OJS/index.php/anfamed/article/view/197
4. Espinosa G, Irigoyen V, Pontillo M, Rodríguez Temesio G. Seudotumor abdominal secundario a oblito quirúrgico. Revista Cirugía Del Uruguay. 2020; 4(2):1-2. DOI: 10.31837/cir.urug.4.2.8
5. Agha R, Franchi T, Soharabi C. The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int. J. Surg. 2020 [acceso: 23/02/2022]; 84:226-230. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33181358/
6. Motta M, Reyna L, Quintero B. La pausa quirúrgica: aspectos de vital importancia antes, durante y después del acto quirúrgico que propenden al adecuado pronóstico del paciente. A propósito de un caso de gossypiboma. Rev. Neuronum. 2019 [acceso: 23/02/2022]; 5(2):51-60. Disponible en: http://eduneuro.com/revista/index.php/revistaneuronum/article/view/194/178
7. Loo JT, Duddalwar V, Chen FK,Tejua T, Lekht I. Abdominal radiograhp pearls and pitfalls for the emergency department radiologist: a pictoral review. Abdom Radiol. 2017 [acceso: 23/02/2022]; 42(4):987-1019. Disponible en: https://link.springer.com/article/10.1007/s00261-016-0859-8
Published
2022-09-26
How to Cite
1.
Díaz de Armas M del C, García Reyes J. Late diagnosis abdominal oblitoma. Rev Cubana Med Milit [Internet]. 2022 Sep. 26 [cited 2025 May 13];51(4):e02201929. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1929
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