Intraluminal Intestinal Obstruction due to a Retained Surgical Sponge in a Spayed Bitch
DOI:
https://doi.org/10.48165/ijvsbt.2026.22.06.38Keywords:
Contrast radiography, Exploratory laparotomy, Iatrogenic errors, Retained surgical sponge.Abstract
A 4 year old female West Highland white terrier, weighing about 7.5 Kg was presented with a week-long history of persistent vomiting and anorexia. Barium contrast radiography showed brief accumulation of the agent outlining an oval structure, measuring 2.24 x 1.45 inches in the small intestines. Ultrasonography revealed a hypoechoic mass with a hyperechoic center in the cranial intestines. Surgical exploration disclosed an outpouching in the jejunum with a granulomatous reaction surrounding an intramural foreign body continuous with the lumen. The affected intestine was resected and anastomosed. Histopathology suggested the foreign body as a retained surgical sponge. On enquiry, the animal underwent an ovariohysterectomy a year ago. The dog recovered uneventfully with no post-operative complications.
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Day, J. L., Pechman, R. D., & Bahr, R. J. (2012). Migration of a retained surgical swab into the jejunum in a dog. Journal of Small Animal Practice, 53(12), 705–708.
Gawande, A. A., Studdert, D. M., Orav, E. J., Brennan, T. A., & Zinner, M. J. (2003). Risk factors for retained instruments and sponges after surgery. New England Journal of Medicine, 348(3), 229–235.
Merlo, M., & Lamb, C. R. (2000). Radiographic and ultrasonographic features of retained surgical sponge in eight dogs. Veterinary Radiology and Ultrasound, 41(3), 279–283.
Pardo, A. D., Adams, W. H., McCracken, M. D., & Legendre, A. M. (1990). Primary jejunal osteosarcoma associated with a surgical sponge in a dog. Journal of the American Veterinary Medical Association, 196(6), 935–938.
Putwain, S., & Archer, J. (2009). What is your diagnosis? Intra-abdominal mass aspirate from a spayed dog with abdominal pain. Veterinary Clinical Pathology, 38(2), 253–256.
Rappaport, W., & Haynes, K. (1990). The retained surgical sponge following intra-abdominal surgery: A continuing problem. Archives of Surgery, 125(3), 405–407.
Rayner, E. L., Scudamore, C. L., Francis, I., & Schöniger, S. (2010). Abdominal fibrosarcoma associated with a retained surgical swab in a dog. Journal of Comparative Pathology, 143(1), 81–85.
Sari, A., Basterzi, Y., Karabacak, T., Tasdelen, B., & Demirkan, F. (2006). The potential of microscopic sterile sponge particles to induce foreign body reaction. International Wound Journal, 3(4), 363–368.
Yildirim, S., Tarim, A., Nursal, T. Z., Yildirim, T., Caliskan, K., Torer, N., & Haberal, M. (2006). Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center. Langenbeck's Archives of Surgery, 391, 390–395.
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