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Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 1-8

Computed tomography of retained intra-abdominal sponges: Eight-year experience at a tertiary care center

1 Department of Radiology, SKIMS, Srinagar, Jammu and Kashmir, India
2 Department of general and minimally Invasive surgery, SKIMS, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Naseer Ahmed Choh
Department of Radiology, SKIMS, Srinagar, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3846.204417

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Objectives: To describe the clinical profile and imaging appearances of retained intra-abdominal sponges in a tertiary care center of a developing country over an 8-year period. Such cases are usually described as isolated case reports in literature, and case series on this subject are rare in literature. Materials and Methods: Seventeen cases are described with reference to the type of surgery, time between the surgery and diagnosis, computed tomography (CT) appearances, operative findings, and final outcome. The patients were traced from the imaging findings and clinical records and were followed until their discharge from the hospital. Results: The most common surgeries were cesarean section (five cases - 29%) and cholecystectomy (four cases - 23%). The time interval between surgery and diagnosis varied between 3 days and 9 months and most cases were diagnosed within 3 months. CT suggested the correct diagnosis in all but one patient. There were two fatalities in the cases; four patients required segmental small gut resection and one required partial gastrectomy. Ten cases followed elective surgeries and rest followed emergency procedures. Conclusion: Retained surgical sponges continue to be an embarrassing iatrogenic complication with devastating medicolegal implications and carry significant morbidity and mortality. Radiologists need to be familiar with this entity for a correct early diagnosis.

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