Open AccessParavesical gossypiboma following inguinal herniorrhaphy: Laparoscopic retrieval
Author(s) -
Chih-Fang Huang,
Che-Jen Huang,
Jan-Sing Hsieh
Publication year - 2015
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.152099
Subject(s) - medicine , gossypiboma , laparoscopy , differential diagnosis , surgery , lesion , laparoscopes , inguinal canal , radiology , foreign body , inguinal hernia , hernia , pathology
Retained surgical sponge (gossypiboma) following an inguinal herniorrhaphy is a rare condition and may cause medicolegal problems. Differential diagnosis for the lesion should be made meticulously. We report a case of a 45-year-old man who had a herniorrhaphy about 8 years previously. He presented one episode of painless gross hematuria. Laboratory and imaging studies excluded any significant lesion in the urological organs. Abdominal CT scan demonstrated a heterogeneous neoplasm of 4 cm in size in the left paravesical area that was retrieved laparoscopically. Abdominal CT and clinical suspicion are helpful for diagnosis. Laparoscopy may be used to confirm the diagnosis and to remove the retained surgical gauze, and considered as an alternative therapy for some selected patients.