caa a22 4500 475803361 CHVBK 20180406123743.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s002689910084 doi (NATIONALLICENCE)springer-10.1007/s002689910084 Intraperitoneal Gossypibomas: The Need to Count Sponges [Elektronische Daten] [Patrick R. Lauwers, Robrecht H. Van Hee] Abstract.: Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow. Computed tomography shows a well defined mass with internal heterogenous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed. 2000 by the Société Internationale de Chir, 2000 Lauwers Patrick R. Department of Surgery, University Hospital of Antwerp, Wilrijkstraat 10, B 2650 Edegem, Antwerp, Belgium, BE aut Van Hee Robrecht H. Department of Surgery, Stuivenberg General Hospital, Lange Beeldekensstraat 267, B 2000 Antwerp, Belgium, BE aut World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 521-527 0364-2313 24:5<521 2000 24 268 https://doi.org/10.1007/s002689910084 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910084 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lauwers Patrick R. Department of Surgery, University Hospital of Antwerp, Wilrijkstraat 10, B 2650 Edegem, Antwerp, Belgium, BE aut NATIONALLICENCE 700 1- Van Hee Robrecht H. Department of Surgery, Stuivenberg General Hospital, Lange Beeldekensstraat 267, B 2000 Antwerp, Belgium, BE aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 521-527 0364-2313 24:5<521 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer