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A new complication of retained surgical gauze: development of malignant fibrous histiocytoma – report of a case with a literature review
- Source :
- World Journal of Surgical Oncology, Vol 10, Iss 1, p 139 (2012), World Journal of Surgical Oncology
- Publication Year :
- 2012
- Publisher :
- BMC, 2012.
-
Abstract
- Background Primary visceral malignant fibrous histiocytoma (MFH) is a rare disease, and few cases have been reported in the English literature. However, retained foreign bodies in the abdomen after surgical procedures are important causes of intra-abdominal infections. For legal and ethical reasons, there are few publications in the literature. In this article, we describe for the first time a case of malign abdominal fibrous histiocytoma associated with a surgical sponge forgotten in the abdominal cavity a long time ago. Case presentation A 64-year-old male presented to our surgical department with cachexia, abdominal pain, distention and pyrexia of unknown origin. He had a medical history of abdominal surgery for peptic ulcer perforation 32 years ago. Clinical examination revealed fever with a distended and painful abdominal wall. Radiological imaging of the abdomen showed multiple heterogeneous masses in one large cystic cavityalmost completely filling the abdomen. The patient underwent a laparotomy, and interestingly, opening the cyst revealed retained surgical gauze (RSG). The origin of the tumor was the visceral peritoneum, and it was excised totally. Conclusions Primary intra-abdominal MFH can present as a complication of long-lasting RSG. Therefore, clinicians must remember this while establishing the differential diagnosis for patients with a history of previous abdominal surgery and presenting with symptoms associated with both the tumor and systemic inflammatory response.
- Subjects :
- Male
Surgical Sponges
medicine.medical_specialty
Abdominal pain
medicine.medical_treatment
Gossypiboma
lcsh:Surgery
Case Report
Histiocytoma, Malignant Fibrous
Abdominal cavity
lcsh:RC254-282
Retained foreign body
Abdominal wall
Postoperative Complications
Laparotomy
Abdomen
medicine
Humans
Soft tissue sarcoma
business.industry
lcsh:RD1-811
Middle Aged
Prognosis
medicine.disease
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Surgery
medicine.anatomical_structure
Oncology
medicine.symptom
business
Malignant fibrous histiocytoma
Textiloma
Retained surgical gauze
Abdominal surgery
Subjects
Details
- Language :
- English
- ISSN :
- 14777819
- Volume :
- 10
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- World Journal of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....69e5ec2fe25cf24d6b076f6269c90aae