Colonic perforation by a transmural and transvalvular migrated retained sponge: Multi-detector computed tomography findings
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Colonic perforation by a transmural and transvalvular migrated retained sponge: Multi-detector computed tomography findings (416 views)

Camera L, Sagnelli M, Guadagno P, Mainenti PP, Marra T, Scotto di Santolo M, Fei L, Salvatore M

World J Gastroentero (ISSN: 1007-9327, 2219-2840, 1007-9327linking), 2014 Apr 21; 20(15): 4457-4461.

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Paper type: Journal Article, Case Reports,

Impact factor: 2.369, 5-year impact factor: 2.671

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84898844498&partnerID=40&md5=9ceb6bb89281d0dd49c7207518ca7445

Keywords: Acute Abdomen, Colonic Perforation, Multi-Detector Computed Tomography, Retained Sponge, Transmural Migration, C Reactive Protein, Diatrizoate, Iopromide, Mesalazine, Nonionic Contrast Medium, Abdominal Pain, Abdominal Tenderness, Adult, Article, Case Report, Colon Diverticulosis, Colon Perforation, Constipation, Echography, Female, Foreign Body, Hemicolectomy, Human, Laparotomy, Leukocytosis, Middle Aged, Multidetector Computed Tomography, Nuclear Magnetic Resonance Imaging, Retained Instrument, Abdominal Pain Etiology , Colon Pathology , Contrast Media Chemistry , Feces , Foreign Bodies , Foreign-Body Migration Complications , Intestinal Perforation Etiology Surgery , Peristalsis , Surgical Sponges Adverse Effects,

Affiliations:
*** IBB - CNR ***

Department of Radiology, University 'Federico II', 80131 Naples, Italy
Institute of Biostructures and Bioimaging, National Research Council (CNR), Via Tommaso De Amicis 95, 80131 Naples, Italy
Gastrointestinal Surgery Unit-Second University School, 80131 Naples, Italy
Luigi Camera, Marco Sagnelli, Maria Scotto di Santolo, Marco Salvatore, Department of Radiology, University "Federico II", 80131 Naples, Italy.


References:
Not available.
Colonic perforation by a transmural and transvalvular migrated retained sponge: Multi-detector computed tomography findings

Transmural migrated retained sponges usually impact at the level of the ileo-cecal valve leading to a small bowel obstruction. Once passed through the ileo-cecal valve, a retained sponge can be propelled forward by peristaltic activity and eliminated with feces. We report the case of a 52-year-old female with a past surgical history and recurrent episodes of abdominal pain and constipation. On physical examination, a generalized resistance was observed with tenderness in the right flank. Contrast-enhanced multi-detector computed tomography findings were consistent with a perforated right colonic diverticulitis with several out-pouchings at the level of the ascending colon and evidence of free air in the right parieto-colic gutter along with an air-fluid collection within the mesentery. In addition, a ring-shaped hyperdense intraluminal material was also noted. At surgery, the ascending colon appeared irregularly thickened and folded with a focal wall interruption and a peri-visceral abscess at the level of the hepatic flexure, but no diverticula were found. A right hemi-colectomy was performed and on dissection of the surgical specimen a retained laparotomy sponge was found in the bowel lumen. © 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
Colonic perforation by a transmural and transvalvular migrated retained sponge: Multi-detector computed tomography findings

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Colonic perforation by a transmural and transvalvular migrated retained sponge: Multi-detector computed tomography findings

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5 Records (4 excluding Abstracts).
Total impact factor: 5.067 (4.172 excluding Abstracts).
Total 5 year impact factor: 5.136 (3.863 excluding Abstracts).

Last modified by Marco Comerci on Sunday 12 July 2020, 13:14:51
416 views. Last view on Wednesday 09 October 2024, 9:13:51