Abstract

Acute bowel obstruction by transmural migration of retained surgical sponge is rare. Diagnosis is difficult. It most often gives a presentation of bowel obstruction or intestinal fistula. We report a case of acute bowel obstruction by transmural migration of retained surgical sponge consecutive to caesarean section. It was a 26 years old-women, IIGIIP, with a history of two caesarean sections. It was received 3 months after cesarean for bowel obstruction. In biology, there was leukocytosis 20,000/mm3. Surgical exploration by laparotomy showed intestinal obstruction by endoluminal glossipoboma at the ileum. Bowel esection and end-to-end anastomosis was performed. The postoperative course was uneventful.

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