Textiloma complicating myomectomy: A case report

Hamidou Soumana Diaouga; Maimouna Chaibou Yacouba; Maina Oumara; Rahamatou Madeleine Garba; Nafiou Idi; Madi Nayama

doi:10.1016/j.ijscr.2023.108874

Textiloma complicating myomectomy: A case report

Int J Surg Case Rep. 2023 Oct:111:108874. doi: 10.1016/j.ijscr.2023.108874. Epub 2023 Sep 28.

Authors

Hamidou Soumana Diaouga¹, Maimouna Chaibou Yacouba², Maina Oumara³, Rahamatou Madeleine Garba², Nafiou Idi⁴, Madi Nayama²

Affiliations

¹ Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger. Electronic address: hamidousoumana21@gmail.com.
² Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger.
³ Abdou Moumouni University, Department of Obstetrics and Gynecology, General Reference Hospital in Niamey, Niger.
⁴ Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity of the Regional Hospital of Niamey, Niger.

Abstract

Introduction and importance: Textiloma or gossypiboma is a rare complication of pelvic surgery. It can mimic both, clinically, and radiologically an abscess, or a tumor, thus, making its diagnosis difficult and late. It can lead to a high morbidity and mortality rate for the patient and engages the surgeon's civil liability.

Case presentation: We report a case of textiloma following a myomectomy in a 42 year old patient treated in our department. Textiloma was diagnosed three years after myomectomy. Treatment consisted of a second laparotomy to remove the textiloma without complication.

Discussion: Incidence of textiloma varies from 1/833 to 1/32.672 but more often encountered in African surgical practice. Systematic counts of instruments, sponges and needles is not yet usual in our operating room. Through the analysis of this case, we call on surgeons to be more vigilant in order to avoid this serious medical error.

Conclusion: The aim of this study was to describe the intraoperative errors that led to the occurrence of the textiloma, depict the diagnostic difficulties of textiloma, and the medico-legal implications in a tertiary hospital in Niger.

Keywords: Case report; Gossypiboma; Myomectomy; Textiloma.

Publication types

Case Reports