DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213303

Gossypiboma neck: a case report with review of literature

Tripti Maithani, Madhuri Kaintura, Sharad Hernot, Kanika Arora

Abstract


Gossypiboma is a dreaded event in surgical expertise. We report a case of post hemithyroidectomy gossypiboma removed 4 years post primary surgery. Initially suspecting it to be a tubercular abscess and fistula, we surprisingly found a surgical gauze on neck exploration. To understand the magnitude of this problem we assembled data on reported gossypibomas post neck surgeries. A detailed search of literature revealed 16 publications (20 cases) with varied clinical picture and differentials. Our case is only the fourth published case wherein there is such a long-standing history and the first to assemble data and review literature on exclusive neck gossypibomas. Although, neck is regarded as a confined cavity with very few obvious crevices where foreign body can be left behind iatrogenically; still, gossypiboma needs to be kept as a differential, especially with a previous surgical history.


Keywords


Gossypiboma, Gauzoma, Surgical negligence, Thyroidectomy, Neck surgery, Surgical sponge

Full Text:

PDF

References


Yamato M, Ido K, Izutsu M, Narimatsu Y, Hiramatsu K. CT and ultrasound findings of surgically retained sponges and towels. J Comput Assist Tomogr. 1987;11(6):1003-6.

Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and evaluation. J Comput Assist Tomogr. 1996;20(6):919-23.

Sheehan RE, Sheppard MN, Hansell DM. Retained intrathoracic surgical swab: CT appearances. J Thorac Imaging. 2000;15(1):61-4.

Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.

Wilson CP. Foreign bodies left in the abdomen after laparotomy. Gynecol Tr. 1884;9:109-12.

Lutgendorf MA, Schindler LL, Hill JB, Magann EF, Boyle JD. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-4.

Revesz G, Siddiqi TS, Buchheit WA, Bonitatibus M. Detection of retained surgical sponges. Radiology. 1983;149(2):411-3.

Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma). Asian J Surg. 2005;28(2):109-15.

Hariharan D, Lobo DN. Retained surgical sponges, needles and instruments. Ann R Coll Surg Engl. 2013;95(2):87-92.

Sakorafas GH, Sampanis D, Lappas C, Papantoni E, Christodoulou S, Mastoraki A, et al. Retained surgical sponges: what the practicing clinician should know. Langenbecks Arch Surg. 2010;395(8):1001-7.

Rehman A, Baloch NU, Awais M. Gossypiboma: an unrecognized and under-reported problem in Pakistan. J Coll Physicians Surg Pak. 2014;24(12):956.

Rehman A, Baloch NU, Awais M. Gossypiboma: an unrecognized and under-reported problem in Pakistan. J Coll Physicians Surg Pak. 2014;24(12):956.

Krizek TJ. Surgical error: ethical issues of adverse events. Arch Surg. 2000;135(11):1359-66.

Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22:207-14

Yildirim S, Tarim A, Nursal TZ, Yildirim T, Caliskan K, Torer N, et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbecks Arch Surg. 2006;391(4):390-5.

Hyslop JW, Maull KI. Natural history of the retained surgical sponge. South Med J. 1982;75: 657-60.

Wattanasirichaigoon S. Transmural migration of a retained surgical sponge into the intestinal lumen: an experimental study. J Med Assoc Thai. 1996;79(7):415-22.

Akyar G, Yagci C, AytaƧ S. Pseudotumour due to surgical sponge: gossypiboma. Australas Radiol. 1997;41(3):288-91.

Paramythiotis D, Michalopoulos A, Papadopoulos VN, Panagiotou D, Papaefthymiou L, Digkas E, et al. Gossypiboma presenting as mesosigmoid abscess. Tech Coloproctol. 2011;15(1):67-9.

Ukwenya AY, Dogo PM, Ahmed A, Nmadu PT. The retained surgical sponge following laparotomy; forgotten at surgery, often forgotten at diagnosis. Our experience. Niger J Surg Res. 2006;8:164-8.

Cevik I, Dillioglugil O, Ozveri H, Akdas A. Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol. 2008;40(4):885-8.

Vento JA, Karak PK, Henken EM. Gossypiboma as an incidentaloma. Clin Nucl Med. 2006;31:176-7.

Chung YE, Kim EK, Kim MJ, Yun M, Hong SW. Suture Granuloma Mimicking Recurrent Thyroid Carcinoma on Ultrasonography. Yonsei Med J 2006;47(5):748-51.

Kim KJ, Lim JY, Choi JS, Kim YM. Gossypiboma of the neck mimicking an isolated neck recurrence. Clin Exp Otorhinolaryngol. 2013;6(4):269-71.

Connor AR, Coakley FV, Meng MV, Eberhardt SC. Imaging of retained surgical sponges in the abdomen and pelvis. AJR Am J Roentgenol. 2003;180(2):481-9.

Kim CK, Park BK, Ha H. Gossypiboma in abdomen and pelvis: MRI findings in four patients. AJR Am J Roentgenol. 2007;189(4):814-7.

Lauwers PR, Van Hee RH. Intraperitoneal gossypibomas: the need to count sponges. World J Surg. 2000;24(5):521-7.

Rajput A, Loud PA, Gibbs JF, Kraybill WG. Diagnostic challenges in patients with tumors: case 1. Gossypiboma (foreign body) manifesting 30 years after laparotomy. J Clin Oncol. 2003;21(19):3700-1.

Topal U, Gebitekin C, Tuncel E. Intrathoracic gossypiboma. AJR Am J Roentgenol. 2001;177(6):1485-6.

Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CW. Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol. 1988;150(5):1047-50.

Serra J, Matias-Guiu X, Calabuig R, Garcia P, Sancho FJ, La Calle JP. Surgical gauze pseudotumor. Am J Surg. 1988;155(2):235-7.

Burrel M, Capurro S, Arguis P, Vilana R. Sonographic appearance of a retained surgical sponge in the neck. J Clin Ultrasound 2000;28(6): 311-3.

Marcy PY, Hericord O, Novellas S, Ettore F. On the AJR digital viewbox. Lymph node-like lesion of the neck after pharyngolaryngectomy. AJR Am J Roentgenol. 2006;187(1):135-6.

Niederkohr RD, Hwang BJ, Quon A. FDG PET/CT detection of a gossypiboma in the neck. Clin Nucl Med. 2007;32(11):893-5.

Tabuena RP, Zuccatosta L, Tubaldi A, Gasparini S. An unusual iatrogenic foreign body (surgical gauze) in the trachea. Respiration. 2008;75(1):105-8

Niederkohr RD, Hwang BJ, Quon A. FDG PET/CT detection of a gossypiboma in the neck. Clin Nucl Med. 2007;32(11):893-5.

Falleti J, Somma A, Baldassarre F, Accurso A, Ettorre A, Insabato L. Unexpected autoptic finding in a sudden death: gossypiboma. Forensic Sci Int. 2010;199(1):23-6.

Jung H, Ryu JH, Kim DW, Jung HK, Kim HD, Park YM, et al. Gossypiboma in the Neck after Total Thyroidectomy: A Case Report. J Korean Soc Radiol. 2011;65(6): 543-6.

Musa AA, Banjo A, Agboola O, Osinupebi O. Failure to heal of thyroidectomy wound due to gossypiboma and stitch sinus: report of two cases. J Surg Tech Case Rep. 2012;4(1):24-6.

Polat AV, Belet U, Aydin R, Akan H. Sonographic appearance of a retained surgical sponge after thyroidectomy: report of three cases. J Clin Ultrasound. 2013;41(1):46-9.

Korumilli RK, Siddiraju KK, Davalapati MK, Reddy G. Gossypiboma in a Post-Thyroidectomy Case. J Evolution Med Dent Sci. 2013;51(12): 9963-5.

Mote DG. Gauzoma: A very rare cause of post-thyroidectomy surgical site infection. Int Jour of Biomed Res. 2014;5(10):657-8.

Pauperio GS, Matos P, Cordeiro CR, Antunes MJ. Post thyroidectomy gossypiboma. Rev Port Cir Cardiotorac Vasc. 2014;21(2):111-3.

Lohani KR, Kataria K, Ranjan P, Khadka S, Jayaram J. Thyroid gossypiboma: a rare diagnosis with common presentation. Int Surg J. 2019;6(9): 3409-11.

Holm TM, Stathatos N, Sadow PM, Juliano AF, Cunnane MB, Carter MS, et al. A Gossypiboma From Kazakhstan. Ear Nose Throat J. 2020;99(2):117-8.