Endoscopic Removal of a Transgastric Migrated Textiloma: A Case Report

Abstract

Aim: Abdominal textiloma is an uncommon postoperative complication which can result in a fistula with luminal migration in the digestive tract. Surgery has been the mainstay method for textiloma removal; however, removal of retained gauze by upper gastrointestinal endoscopy is possible avoiding reoperation. Case report: We report a case of an abdominal textiloma in a 38-year-old male, which migrated into the stomach and was extracted by upper endoscopy. Conclusion: Endoscopic extraction after a luminal migration of the abdominal textiloma in the digestive tract facilitate its management and could avoid surgery.

Plain Language Summary

The diagnosis of abdominal textiloma must be considered in front of unexplained symptoms in patients with a surgical history. Surgery has been the mainstay method for textiloma removal; however, endoscopic removal may be the best option which avoids reoperation. We report a case of an abdominal textiloma in a 38-year-old male, which migrated into the stomach and was extracted by upper endoscopy.

Keywords:

• abdominal textiloma
• endoscopic removal

Author contributions

G Gharbi: reviewed the literature and wrote the article. S Bizid: wrote the article. R Bouali: performed the endoscopy. M Ghanem and R Bouali: contributed in the therapeutic decisions.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Informed consent disclosure

The authors state that for investigations involving human subjects, informed consent has been obtained from the participants involved.