An Unusual Cause of Chronic Lumbar Back Pain: Retained Surgical Gauze Discovered after 40 Years - Rajkovi? - 2010 - Pain Medicine - Wiley Online LibrarySkip to Main Content
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An Unusual Cause of Chronic Lumbar Back Pain: Retained Surgical Gauze Discovered after 40 YearsZoran Rajkovi? MD1,*, Silvio Altarac MD, PhD2, Dino Pape? MD1Article first published online: 28 OCT 2010DOI: 10.1111/j.1526-4637.2010.00969.xWiley Periodicals, Inc. Issue
Pain MedicineEarly View (Articles online in advance of print)Additional InformationHow to CiteRajkovi?, Z., Altarac, S. and Pape?, D. , An Unusual Cause of Chronic Lumbar Back Pain: Retained Surgical Gauze Discovered after 40 Years. Pain Medicine, no. doi: 10.1111/j.1526-4637.2010.00969.xAuthor Information1
Departments of Surgery
2
Urology, Zabok General Hospital, Zabok, Croatia
*Correspondence: Zoran Rajkovi? MD, *Correspondence: Zoran Rajkovi?, MD, Institutional address: Zabok General Hospital, Bra?ak 8,?49210?Zabok, Croatia, Home address: Bene?i?eva 7,?10000?Zagreb, Croatia. Tel: +385?98?719260; Fax: +385?1?6145400; E?mail: zrajkovi@gmail.com. Publication HistoryArticle first published online: 28 OCT 2010 SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (298K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Get PDF (298K) Keywords:Retained Gauze;Textilloma;Gossypiboma;Lumbar Back;Chronic PainAbstract
Objective.? Retained surgical gauze left inside the patient during a surgical procedure is called textiloma or gossypiboma. Most often found in abdominal and pelvic cavities, retained gauze can cause a variety of symptoms, including fever, palpable mass and pain. Symptoms depend on the location (and possible migration) of the retained gauze and local tissue reaction (inflammatory or aseptic).
Design.? Case report.
Setting and Patients.? We present a case of a patient with lumbar pain and constipation caused by surgical gauze mimicking a tumor, which was retained from previous abdominal surgery performed almost 40 years prior.
Measures.? We discuss the diagnosis, treatment and prevention of retained surgical gauze.
Conclusion.? Retained surgical gauze occurrences are not as rare as they are widely considered to be, and clinicians should be aware of that. In reality, retained gauze can be extremely difficult to diagnose, especially if a patient presents after a very long asymptomatic period.
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Skip to main page content home current query previous queries CME subscribe ONLINE using send to (A) and (A) activate my account search go advanced search? user name password sign in lumbar ryggm?rgsv?tskan River system of Thoracoabdominal colorectal surgery: rationale and practical considerations for managing Christine a. Fedorow, MD *, Michael c. Moon, MD, FRCPC ?, w. Alan c. Mutch, MD, FRCPC * and Hilary p. GrocottVD, FRCPC * ?From the Departments of *Anesthesia and ?Surgery, University of Manitoba, Winnipeg, Manitoba, Canada. Address correspondence and reprint requests to Hilary P. Grocott, MD, FRCPC, Departments of Anesthesia, University of Manitoba, I.H. Asper Institute for Clinical Research, CR3008-369 Tache Ave., Winnipeg, MB, Canada R2H 2A6. Address e-mail to hgrocott{at}sbgh.mb.ca. Abstract Paraplegia remains one of the most devastating complications of thoracoabdominal aortic surgery and is associated with a significant increase in both morbidity and mortality. Modern aortic repair techniques use many modalities aimed at reducing the risk of spinal cord ischemia inherent with surgical management. One of these modalities that acts via optimizing spinal cord blood flow is lumbar cerebrospinal fluid (CSF) drainage. Either alone or in combination with other interventions, CSF drainage remains one of the most frequently used spinal cord protection techniques. Despite no definitive proof of efficacy for reducing spinal cord injury, there are compelling data supporting its use. However, the potential benefit of CSF drainage must be balanced against the risks associated with its use, including nerve injury during insertion, compressive neuraxial hematoma formation, intracranial hemorrhage due to excessive drainage, and infection. The optimal benefit to risk ratio can be achieved by understanding the rationale for its use and following practical management guidelines. Footnotes Supported by internal departmental funding. Disclosure: The authors report no conflicts of interest. Copyright ? 2010 International Anesthesia Research Society ? Previous | Next Article ?Table of Contents This Article Published online before print June 3, 2010, doi: 10.1213/?ANE.0b013e3181ddddd6 A & A July 2010 vol. 111 no. 1 46-58 ? Abstract Full Text Full Text (PDF) CME Classifications Series: Review Articles Cardiovascular Anesthesiology Services Email this article to a colleague Alert me when this article is cited Alert me if a correction is posted Similar articles in this journal Similar articles in PubMed Download to citation manager Request Permissions Citing Articles Load citing article information Citing articles via Google Scholar Google Scholar Articles by Fedorow, C. A. Articles by Grocott, H. P. Search for related content PubMed PubMed citation Articles by Fedorow, C. A. Articles by Grocott, H. P. Related Content Cardiovascular Neuroanesthesia Anesthetic Techniques Patient Safety Load related web page information Current Issue July 2011, 113 (1) 
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Alert me to new issues of A & A Join the IARS About A&A Mission Editorial Board For Authors For Reviewers Cover Art Sign up Sign up for eTOCs Sign up for RSS feeds Browse by Topic Permissions and Copyright Press Room OpenAnesthesia Advertise in A&A Career Center Most Read Special Article: 2010 Anesthesia & Analgesia Guide for Authors: 2009-2010 Editorial Board, Anesthesia & Analgesia Hand Contamination of Anesthesia Providers Is an Important Risk Factor for Intraoperative Bacterial Transmission Postoperative Sore Throat: More Answers Than Questions Nitrous Oxide and Long-Term Morbidity and Mortality in the ENIGMA Trial Surgical Site Infections and the Anesthesia Professionals' Microbiome: We've All Been Slimed! Now What Are We Going to Do About It? ? View all Most Read articles Cited ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Echocardiography Examination: Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials Consensus Guidelines for Managing Postoperative Nausea and Vomiting Cerebral Autoregulation and Flow/Metabolism Coupling during Cardiopulmonary Bypass: The Influence of Paco2 A Postanesthetic Recovery Score ? View all Most Cited articles Copyright ? 2011 by the International Anesthesia Research Society Print ISSN: 0003-2999 Online ISSN: 1526-7598