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A 36-year-old woman presented in the emergency
department of East Surgical Ward of MAYO Hospital
Lahore, Pakistan, in August 2019 with complaint of
abdominal pain and vomiting for the past five days. The
patient had a history of three Caesarean sections, the
last one three years back. Off and on, she experienced
abdominal pain and distension which was relieved after
taking local medicines. She had no comorbid conditions
and her baseline investigations were normal. On
examination she had tachycardia with pulse 110/min
and her whole abdomen was tender with exaggerated
bowel sounds. X-ray of the abdomen showed multiple
air fluid levels in the small intestine. Exploration plan
was made; a distended segment of ileum was later
found to have an abdominal sponge inside its lumen.
There was a perforation in the ileum through which the
sponge was retrieved and resection and end-to-end
anastomosis was done. The patient was discharged on
third post operation day.
Ahmed Siddique Ammar. (2021) A case report of abdominal sponge in ileum in a patient with intestinal obstruction , Journal of the Pakistan Medical Association, Volume 71, Issue 1.
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