Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery
Surgical materials, such as gauze, can be accidentally left inside of patients following surgery. This iatrogenic complication should be avoided and is often prevented by routine X-ray analysis after surgical abdominal procedures. We report a case of retained barium in the appendix that was difficul...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/2589080 |
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| author | Masakazu Sato Minako Koizumi Takahiro Hino Yu Takahashi Natsuki Nagashima Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi |
| author_facet | Masakazu Sato Minako Koizumi Takahiro Hino Yu Takahashi Natsuki Nagashima Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi |
| author_sort | Masakazu Sato |
| collection | DOAJ |
| description | Surgical materials, such as gauze, can be accidentally left inside of patients following surgery. This iatrogenic complication should be avoided and is often prevented by routine X-ray analysis after surgical abdominal procedures. We report a case of retained barium in the appendix that was difficult to distinguish from surgical remnants. A 41-year-old Japanese female was diagnosed with uterine leiomyoma and underwent laparoscopic myomectomy. The postoperative X-ray test showed a cord-like material in the lower right abdomen that was not captured in the preoperative X-ray test two months prior to the operation. Because of this difference, the area was reexamined laparoscopically. After examination, we concluded that the cord-like material in X-ray tests was in fact retained barium in the appendix. Barium can be retained in the appendix for long periods of time, and retained barium in the appendix can be captured radiographically and can mimic the appearance of surgical remnants, appearing as a cord-like material. The knowledge above combined with detailed interviews before surgery could prevent such confusion during interpretation of X-ray tests after surgery. |
| format | Article |
| id | doaj-art-1c42180fe9b04df8b6e4a638eb1f55ff |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-1c42180fe9b04df8b6e4a638eb1f55ff2025-02-03T07:26:13ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/25890802589080Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic SurgeryMasakazu Sato0Minako Koizumi1Takahiro Hino2Yu Takahashi3Natsuki Nagashima4Nao Itaoka5Chiharu Ueshima6Maki Nakata7Yoko Hasumi8Department of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynaecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanSurgical materials, such as gauze, can be accidentally left inside of patients following surgery. This iatrogenic complication should be avoided and is often prevented by routine X-ray analysis after surgical abdominal procedures. We report a case of retained barium in the appendix that was difficult to distinguish from surgical remnants. A 41-year-old Japanese female was diagnosed with uterine leiomyoma and underwent laparoscopic myomectomy. The postoperative X-ray test showed a cord-like material in the lower right abdomen that was not captured in the preoperative X-ray test two months prior to the operation. Because of this difference, the area was reexamined laparoscopically. After examination, we concluded that the cord-like material in X-ray tests was in fact retained barium in the appendix. Barium can be retained in the appendix for long periods of time, and retained barium in the appendix can be captured radiographically and can mimic the appearance of surgical remnants, appearing as a cord-like material. The knowledge above combined with detailed interviews before surgery could prevent such confusion during interpretation of X-ray tests after surgery.http://dx.doi.org/10.1155/2018/2589080 |
| spellingShingle | Masakazu Sato Minako Koizumi Takahiro Hino Yu Takahashi Natsuki Nagashima Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery Case Reports in Obstetrics and Gynecology |
| title | Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery |
| title_full | Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery |
| title_fullStr | Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery |
| title_full_unstemmed | Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery |
| title_short | Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery |
| title_sort | retained barium in the appendix is difficult to distinguish from surgical remnants following laparoscopic surgery |
| url | http://dx.doi.org/10.1155/2018/2589080 |
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