Incidental intra-abdominal textiloma
Keywords:
abdominal cavity, duodenal ulcer, strange bodies, ultrasonography, gastrointestinal endoscopy, endosonography.Abstract
Introduction: Textilomas are foreign bodies originating from the textile surgical material, forgotten during a surgical intervention. They are rare. Its clinical presentation can be acute or chronic, manifesting months or years after the original surgical operation.
Objectives : To present a rare case of intra-abdominal textiloma, its clinical manifestations, diagnosis and treatment.
Clinical case: A 39-year-old male patient with a history of been operated on 14 years ago for a bleeding duodenal ulcer; asymptomatic until the date he was studied for digestive symptoms. The only positive element in the physical examination was pain on deep palpation of epigastrium. During endoscopy, a gastric subepithelial lesion was diagnosed. The double-contrast abdominal tomography confirmed a tumor-like lesion at the greater curvature of the stomach, depending on its wall. An endoscopic ultrasound was performed, through which a mesenchymal tumor of the mesentery was diagnosed, without being able to rule out the possibility of a gastric gastrointestinal stromal tumor. Excision of the tumor was performed. The anatomopathological study reported a textiloma.
Conclusions : Textilomas are surgical accidents with detrimental consequences for the patient's life if not proceeded quickly. They are the result of iatrogenesis during a surgical intervention and the most important thing is their prevention.
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