Fatal outcome of retained surgical instrument following abdominal surgery:: An autopsy case


BÜYÜK Y., UZUN İ., Coskun A., Eryilmaz R.

NOBEL MEDICUS, cilt.3, sa.1, ss.27-29, 2007 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 1
  • Basım Tarihi: 2007
  • Dergi Adı: NOBEL MEDICUS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.27-29
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Retained surgical sponges, instruments and drains following abdominal surgery may be responsible for many post-operative complications such as bowel obstruction, peritonitis, adhesions, abscess formation and fistulas. While some patients may remain asymptomatic for a long time, some patients may die due to these complications. Though there are many reports on retained surgical sponges, there are not so many reports on retained surgical instrument-associated deaths. The present case report describes a patient who was operated for hydatid cyst of liver and was reoperated due to retained surgical instrument 3 months later and was found to possess a Kocher clamp that compressed the ileum causing necrosis and peritonitis. Following this second operation the patient died in early postoperative period and generalized peritonitis was detected at the autopsy.