2012, Number 4
Med Int Mex 2012; 28 (4)
Córdova-Pluma VH, Vega-López CA, Castillo-González FA, Cornejo-López GB, Ramírez-Arias JL, Rodríguez-Treviño C
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ABSTRACTIntroduction: Textiloma is defined as a mass inside the body, result of forgotten surgical materials and also denominated as gossypiboma. An incidence of 100 out of 3000 surgeries is estimated, however, due to its medical legal implication this information is not accurately known and the risk factors have been described as emergency interventions, modifications to the surgical techniques and a high body mass index; the symptoms are not specific and the diagnosis is done through image studies due to clinical suspicion.
Case report: Female patient 18 years old that was admitted to the Emergencies Care Unit at Hospital Angeles del Pedregal with a five day evolution of acute abdominal pain, through image studies the textiloma diagnosis was confirmed and this was extracted by an exploratory laparotomy with a good post-surgery evolution.
Discussion: In 90% of the cases, the diagnosis is done through a simple X-ray of the abdomen and its extraction must be done immediately because of the high morbidity and mortality rate this condition generates.
Conclusion: Communication and education of this pathology will make easier a quick clinical suspicion with an opportune diagnosis and adequate treatment.