Unexplained Pain Due to the Retained Surgical Item in the Abdominal Cavity: A Rare Presentation
Mohammad Sadegh Sanie1, Lohrasb Taheri2, Mohamed Amin Ghobadifar3* and Navid Kalani4
1Department of Anaesthesiology, Jahrom University of Medical Sciences, Jahrom, Iran.
2Department of General Surgery, Jahrom University of Medical Sciences, Jahrom, Iran.
3Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
4Department of Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
DOI : http://dx.doi.org/10.13005/bbra/2176
ABSTRACT: Retained surgical items (RSI) is a problem of surgical patient safety. RSIs after surgical procedures in the abdomen are critical causes of intraperitoneal infections. Unexplained pain due to the RSIs after a surgery is a rare presentation. There are few publications in the worldwide literature described manifestations associated with RSIs. In this article, we report a rare case presented with unexplained and persistent abdominal pain associated with a hemovac cap forgotten in the abdominal cavity a few months ago. A 52-year-old female presented to our clinic with abdominal pain, constipation, nausea, vomiting, and pyrexia of unknown origin. She had a history of oophorectomy and total abdominal hysterectomy to decrease the risk of ovarian cancer. Clinical examination revealed painful and distended abdominal wall with fever. Abdominal X-ray analysis showed extensively air-filled small and large bowels. A laparotomy was performed, and interestingly, a retained hemovac cap was found which was densely adherent to the surrounding bowel. This case report shows that unexplained and persistent abdominal pain can represent due to RSI after abdominal surgical procedures.
KEYWORDS: Abdominal abscess; Abdominal cavity; Abdominal pain; Foreign bodies; Hysterectomy; Surgery
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Copy the following to cite this article: Sanie M. S, Taheri L, Ghobadifar M. A, Kalani N. Unexplained Pain Due to the Retained Surgical Item in the Abdominal Cavity: A Rare Presentation. Biosci Biotech Res Asia 2015;12(spl.edn.2) |
Copy the following to cite this URL: Sanie M. S, Taheri L, Ghobadifar M. A, Kalani N. Unexplained Pain Due to the Retained Surgical Item in the Abdominal Cavity: A Rare Presentation. Biosci Biotech Res Asia 2015;12(spl.edn.2). Available from:https://www.biotech-asia.org/?p=12801 |