Abstrakt
Background: Retained foreign bodies are relatively uncommon and probably underreported in the tropics. Largely preventable errors, they cause harm to both the patient and the medical practitioner.
Case presentation and management: A 32 year old primigravida with recurrent lower abdominal pain in pregnancy. She had myomectomy a year earlier at a private hospital in which the endometrium was inadvertently breached. She subsequently had an elective caesarean section at 38weeks and 2days gestational age. Intra-operative findings were adhesive bands between the uterus and loops of bowel and a round bodied surgical needle attached by adhesions anteriorly to the lower segment. Her post operative care was uneventful and she was discharged home on the 3rd day post operation.
Conclusion: Retained surgical foreign body (RSFB) could pose a diagnostic dilemma as in the case of this patient with recurrent lower abdominal pain in pregnancy. Meticulous instrument count should include sutures and needles.
Keywords: - Myomectomy, retained surgical needle, Mishap.
Résumé
Contexte: Les corps étrangers retenu sont relativement rares et probablement sous-estimé dans les régions tropicales. Erreurs largement évitables, ils causent un préjudice à la fois au patient et au médecin. Présentation de cas et de gestion: Une femme primo-gravide de 32 ans avec douleurs sous-abdominales récurrentes pendant la grossesse. Elle avait la myomectomie un an plus tôt dans un hôpital privé dans laquelle l’endomètre a été violé par inadvertance. Elle a par la suite eu une césarienne à 38 semaines et 2 jours d’âge gestationnel. Constatations intra-opérative étaient bandes adhésives entre l’utérus et anses intestinales et une aiguille chirurgicale a corps rond fixé par des adhésions antérieurement au segment inférieur. Ses soins post-opératives ont été simples et elle a été déchargée à la maison le 3ème jour après l’opération.
Conclusion: Corps étranger chirurgicale retenu (RSFB) pourrait poser un dilemme diagnostic comme dans le cas de cette patiente avec récurrentes douleurs sous-abdominales pendant la grossesse. Le compte d’instrument de méticuleux devrait inclure les sutures et les aiguilles.
Mots-clés: - La myomectomie, aiguille chirurgicale retenue, Malheur
Correspondence: Dr. G.O. Obajimi, Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Nigeria, E-mail: gbolahanobajimi@gmail.com
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