Gossypiboma vesical: reporte de 2 casos y revisión de la literatura

Alessandri Espinoza; Andy Cardozo; Jasson Lavi; Wendy Arenilla

Authors

Alessandri Espinoza University Hospital of Caracas.
Andy Cardozo University Hospital of Caracas.
Jasson Lavi University Hospital of Caracas.
Wendy Arenilla Central University of Venezuela

Keywords:

bladder foreign body, gauze, gossypiboma, simple prostatectomy, abdominal hysterectomy.

Abstract

The presence of intracavitary gauzes after the surgical procedures is a situation that generates important complications, with serious medico-legal repercussions. The objective of this study is describe the presence of a bladder foreign body as an iatrogenic complication. Two cases are presented, the first is from a 63-year-old man with a history of simple prostatectomy for benign prostatic hyperplasia who presents with episodes of acute urinary retention; and the second is a 65-year-old woman with a history of abdominal hysterectomy due to leiomyomatosis that presents with chronic pelvic pain and recurrent urinary tract infections. A pelvic ecosonogram was performed on the patients who reported a bladder space-occupying lesion, urotac showed an intravesical foreign body with a radiopaque appearance, and intravesical synthetic flotation material was visualized in the urethrocystoscopy. The patient underwent a cystotomy with gas-compatible material extraction and the patient underwent endoscopic extraction, both showing a satisfactory evolution. Surgical site revision and transoperative gauze infection before the final synthesis of tissues is a fundamental step for the success of pelvic surgery.

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