Textiloma complicating myomectomy: A case report.
In: International Journal of Surgery Case Reports, Jg. 111 (2023-10-01), S. N.PAG
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Zugriff:
Textiloma or gossypiboma is a rare complication of pelvic surgery. It can mimic both, clinically, and radiologically an abscess, or a tumor, thus, making its diagnosis difficult and late. It can lead to a high morbidity and mortality rate for the patient and engages the surgeon's civil liability. We report a case of textiloma following a myomectomy in a 42 year old patient treated in our department. Textiloma was diagnosed three years after myomectomy. Treatment consisted of a second laparotomy to remove the textiloma without complication. Incidence of textiloma varies from 1/833 to 1/32.672 but more often encountered in African surgical practice. Systematic counts of instruments, sponges and needles is not yet usual in our operating room. Through the analysis of this case, we call on surgeons to be more vigilant in order to avoid this serious medical error. The aim of this study was to describe the intraoperative errors that led to the occurrence of the textiloma, depict the diagnostic difficulties of textiloma, and the medico-legal implications in a tertiary hospital in Niger. • Despite the cheklist" of procedures published by the Wold Health Organization to reduce textiloma, this complication est. is still observed in our surgical practice, because systematic counts of instruments, sponges and needles is not yet usual in our operating room. • The absence of specific signs, both clinical and radiological, makes the diagnosis often difficult and late particularly in a low ressorce setting. Textiloma constitutes a fault for the judge, especially since its consequences can be serious on the patient. It calls into question the responsibility of the surgeon because it is an involuntary personal fault. This case report show that honesty and respect for medical ethics also make it possible to protect colleagues against claims. Diagnosis must never be take secret. • This study describe the intraoperative errors that led to the occurrence of textiloma, depict the diagnostic difficulties and the medico-legal implications in a tertiary hospital in Niger [ABSTRACT FROM AUTHOR]
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Titel: |
Textiloma complicating myomectomy: A case report.
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Autor/in / Beteiligte Person: | Diaouga, Hamidou Soumana ; Yacouba, Maimouna Chaibou ; Oumara, Maina ; Garba, Rahamatou Madeleine ; Idi, Nafiou ; Nayama, Madi |
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Zeitschrift: | International Journal of Surgery Case Reports, Jg. 111 (2023-10-01), S. N.PAG |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 2210-2612 (print) |
DOI: | 10.1016/j.ijscr.2023.108874 |
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