Textilomas Migrating through the Colonic Wall Mimicking Malignancy: A Rare Case Report of a C-section Post-Operative Complication
MERGHAD Hatim
*
Department of Digestive Surgical Oncology, National Institute of Oncology, IBN SINA Hospital, Rabat, Morocco.
CHAOUNI Adil
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
RAHIOUI Yousra
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
EL KHELOUFI Soufiane
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
ASATASH Yosra
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
BRAHMI Oussama
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
KHEDID Yahia Zain Al Abidine
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
EL ABSI Mohamed
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
El OUNANI Mohamed
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
ECHARRAB El Mahjoub
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
EL ALAMI EL FARICHA EL Hassan
Department of Digestive Surgical Emergencies, IBN SINA Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
This is a case of a 40 years old female patient, with a history of 2 Cesarean section 10 years ago and 6 months ago, consulting for bowel obstruction for 20 days, CT scan showing two masses, located on the caecal and sigmoid region, presuming a malignant origin and a pre-perforated colon with signs of peritoneal carcinosis, per operative findings showed a perforated colon with two surgical mesh. This article highlights how even the slightest negligence can lead to dire consequences post-operatively for the patient, emphasizing the importance of counting mesh in the surgical fraternity, particularly when performing procedures in closed cavities. It also underscores the importance of considering clinical and complementary examinations when treating a patient. The article also contains, through discussion, the mechanisms of foreign body migration and ways to prevent similar future surgical complications.
Keywords: Textiloma, mesh, colic occlusion, mesh migration, C-section, postoperative bowel obstruction, pathophysiology, colic cancer