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1腹腔纱布瘤4例诊治分析显示文摘纱布瘤(Gossypiboma)由Wilson于1884年首次报道[1]。腹腔残留的异物中,纱布瘤是较为罕见的一种医源性疾病,可以静止不发展,也可诱发一系列炎症反应,这种反应可能导致化脓性炎症、组织纤维化或肉芽肿的形成,甚至出现类似肿瘤性质的表现。詹玮 张汝一 甄运寰 廖欣 李珀 2014重庆医学2014,43,10:1
2Colonic perforation by a transmural and transvalvular migrated retained sponge:Multi-detector computed tomography findings显示文摘Transmural migrated retained sponges usually impact at the level of the ileo-cecal valve leading to a small bowel obstruction.Once passed through the ileo-cecal valve,a retained sponge can be propelled forward by peristaltic activity and eliminated with feces.We report the case of a 52-year-old female with a past surgical history and recurrent episodes of abdominal pain and constipation.On physical examination,a generalized resistance was observed with tenderness in the right flank.Contrast-enhanced multi-detector computed tomography findings were consistent with a perforated right colonic diverticulitis with several out-pouchings at the level of the ascending colon and evidence of free air in the right parieto-colic gutter along with an air-fluid collection within the mesentery.In addition,a ring-shaped hyperdense intraluminal material was also noted.At surgery,the ascending colon appeared irregularly thickened and folded with a focal wall interruption and a peri-visceral abscess at the level of the hepatic flexure,but no diverticula were found.A right hemi-colectomy was performed and on dissection of the surgical specimen a retained laparotomy sponge was found in the bowel lumen.Luigi Camera Marco Sagnelli Paolo Guadagno Pier Paolo Mainenti Teresa Marra Maria Scotto di Santolo Landino Fei Marco Salvatore 2014World Journal of Gastroenterology2014,20,15:0
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