vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2025.5.CASE.1vmireaviz-1341Research ArticleКлинический случайClinical caseКлинический случай диагностики металлического инородного тела брюшной полостиClinical case of diagnosing a metallic foreign body in the abdominal cavityhttps://orcid.org/0009-0006-7262-5992КузнецоваА. А.KuznetsovaA. A.

Кузнецова Антонина Алексеевна, гнойный хирург консультативно-диагностической поликлиники,

ул. 1 Мая, д. 167, г. Краснодар, 350086

Antonina A. Kuznetsova, Purulent surgeon, Consultative and Diagnostic Outpatient Clinic,

1 Maya St., Building 167, Krasnodar, 350086

kuznecova_tonya@mail.ruhttps://orcid.org/0000-0003-1508-203XКатричА. Н.KatrichA. N.

Катрич Алексей Николаевич, д-р мед. наук, доцент, заведующий отделением ультразвуковой диагностики,

доцент кафедры хирургии № 1, 

ул. 1 Мая, д. 167, г. Краснодар, 350086

Aleksey N. Katrich, MD, Associate Professor, Head of the Ultrasound Diagnostics Department;

Associate Professor of the Department of Surgery No. 1, 

1 Maya St., Building 167, Krasnodar, 350086

https://orcid.org/0000-0001-5995-750XТриандафиловК. В.TriandafilovK. V.

Триандафилов Константин Владимирович, врач-хирург, заведующий отделением гнойной хирургии, 

ул. 1 Мая, д. 167, г. Краснодар, 350086

Konstantin V. Triandafilov, Surgeon, Head of the Purulent Surgery Department, 

1 Maya St., Building 167, Krasnodar, 350086

https://orcid.org/0009-0003-6499-0816ЕгоровА. С.EgorovA. S.

Егоров Александр Сергеевич, врач-хирург отделения гнойной хирургии, 

ул. 1 Мая, д. 167, г. Краснодар, 350086

Aleksandr S. Egorov, Surgeon, Purulent Surgery Department, 

1 Maya St., Building 167, Krasnodar, 350086

Научно-исследовательский институт – Краевая клиническая больница №1 им. проф. С.В. ОчаповскогоРоссияResearch Institute – Regional Clinical Hospital No. 1 named after Professor S.V. OchapovskyRussian FederationНаучно-исследовательский институт – Краевая клиническая больница №1 им. проф. С.В. Очаповского; Кубанский государственный медицинский университетРоссияResearch Institute – Regional Clinical Hospital No. 1 named after Professor S.V. Ochapovsky; Kuban State Medical UniversityRussian Federation202527012026155191197Copyright © Кузнецова А.А., Катрич А.Н., Триандафилов К.В., Егоров А.С., 20262026Кузнецова А.А., Катрич А.Н., Триандафилов К.В., Егоров А.С.Kuznetsova A.A., Katrich A.N., Triandafilov K.V., Egorov A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1341

Представлен редкий клинический случай длительного бессимптомного нахождения металлического инородного тела (хирургического зажима), оставленного в брюшной полости после холецистэктомии, демонстрирующий сложности диагностики и потенциальные осложнения, а также подчеркивающий важность тщательной ревизии операционного поля и настороженности в отношении инородных тел в анамнезе. Клинический случай. Пациентка Ж, 68 лет, была госпитализирована в ГБУЗ «НИИ-ККБ№1 им. проф. С.В. Очаповского» с диагнозом: инородное тело брюшной полости (хирургический зажим) с абсцедированием. Из анамнеза: инородное тело в брюшной полости было обнаружено случайно в 2019 г. при рентгенологическом исследовании позвоночника, проведённого по несвязанному с заболеванием поводу. Не извлечено в связи с нежеланием пациентки. С техническими трудностями пациентка прооперирована в экстренном порядке после развития осложнений.

A rare clinical case of a long-term asymptomatic presence of a metallic foreign body (surgical clamp) left in the abdominal cavity after cholecystectomy is presented, demonstrating the diagnostic difficulties and potential complications, and emphasizing the importance of a thorough revision of the surgical field and alertness to foreign bodies in the anamnesis. Clinical case. Patient G, 68-years-old female, was hospitalized in the Scientific Research Institute – Ochapovsky Regional Clinical Hospital №1 with the diagnosis: Abscessed foreign body (surgical clamp) in the abdominal cavity. From the anamnesis: a foreign body in the abdominal cavity was incidentally discovered during an X-ray examination of the spine in 2019, performed for unrelated reasons. Not extracted due to the patient’s unwillingness. The patient underwent emergency surgery, with technical difficulties, after complications developed.

инородные тела [D005547]брюшная полость [D000005]холецистэктомия [D002763]послеоперационные осложнения [D011183]хирургические инструменты [D013525]диагностическая визуализация [D003952]лапаротомия [D007813]ятрогенные заболевания [D007049]клинический случай [D016428]безопасность пациентов [D061214]foreign bodies [D005547]abdominal cavity [D000005]cholecystectomy [D002763]postoperative complications [D011183]surgical instruments [D013525]diagnostic imaging [D003952]laparotomy [D007813]iatrogenic disease [D007049]case reports [D016428]patient safety [D061214]ReferencesBahl N, Sciturro M, Lowery D. High-Velocity Penetrating Abdominal Injury Secondary to a Motorized Wire Brush in the Workplace. Cureus. 2022;14(8):e28214. PMID: 36158408 https://doi.org/10.7759/cureus.282141 Bahl N, Sciturro M, Lowery D. High-Velocity Penetrating Abdominal Injury Secondary to a Motorized Wire Brush in the Workplace. Cureus. 2022;14(8):e28214. PMID: 36158408 https://doi.org/10.7759/cureus.28214Nepal A, Rajbhandari AP. The Wandering Knife: A Case Report. Cureus. 2023;15(9):e44575. PMID: 37789991 https://doi.org/10.7759/cureus.445752 Nepal A, Rajbhandari AP. The Wandering Knife: A Case Report. Cureus. 2023;15(9):e44575. PMID: 37789991 https://doi.org/10.7759/cureus.44575Han JH, Cha RR, Kwak JY, Jeon JY, Lee SS, Jung JJ et al. Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body. Medicina (Kaunas). 2023;59(9):1504. PMID: 37763623 https://doi.org/10.3390/medicina590915043 Han JH, Cha RR, Kwak JY, Jeon JY, Lee SS, Jung JJ et al. Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body. Medicina (Kaunas). 2023;59(9):1504. PMID: 37763623 https://doi.org/10.3390/medicina59091504Yang JH, Lan JY, Lin AY, Huang WB, Liao JY. Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus: A case report. World J Gastrointest Surg. 2023;15(10):2351-2356. PMID:37969708 https://doi.org/10.4240/wjgs.v15.i10.23514 Yang JH, Lan JY, Lin AY, Huang WB, Liao JY. Three-dimensional computed tomography reconstruction diagnosed digestive tract perforation and acute peritonitis caused by Monopterus albus: A case report. World J Gastrointest Surg. 2023;15(10):2351-2356. PMID:37969708 https://doi.org/10.4240/wjgs.v15.i10.2351Nabais I, Tinoco Magalhães R, Gonçalves Correia R, Saraiva de Melo N, Cruz D. Iatrogenic Abdominal Pain: A Case Report of a Retained Surgical Item Detected 20 Years After Surgery.Cureus. 2022;14(7):e26962. Published 2022 Jul 18. PMID: 35989736 https://doi.org/10.7759/cureus.269625 Nabais I, Tinoco Magalhães R, Gonçalves Correia R, Saraiva de Melo N, Cruz D. Iatrogenic Abdominal Pain: A Case Report of a Retained Surgical Item Detected 20 Years After Surgery.Cureus. 2022;14(7):e26962. Published 2022 Jul 18. PMID: 35989736 https://doi.org/10.7759/cureus.26962Ben Abderrahim S, Gharbaoui M, Zaara MA, Harzallah H, Allouche M. A fatal case of cannabis body-packing: About an autopsy case report. J Forensic Leg Med. 2020;74:102033. PMID: 32769041 https://doi.org/10.1016/j.jflm.2020.1020336 Ben Abderrahim S, Gharbaoui M, Zaara MA, Harzallah H, Allouche M. A fatal case of cannabis body-packing: About an autopsy case report. J Forensic Leg Med. 2020;74:102033. PMID: 32769041 https://doi.org/10.1016/j.jflm.2020.102033Zhao G, Zhao S, Wang S, et al. Unexpected death from hepatic abscess 16 months after toothbrush ingestion. J Forensic Sci. 2022;67(5):2110-2114. PMID: 35699092 https://doi.org/10.1111/1556-4029.150797 Zhao G, Zhao S, Wang S, et al. Unexpected death from hepatic abscess 16 months after toothbrush ingestion. J Forensic Sci. 2022;67(5):2110-2114. PMID: 35699092 https://doi.org/10.1111/1556-4029.15079Minh LHN, Han LTK, Hau NV, Kiet NA, Phong TT, Duong NK, et al. Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report. Radiol Case Rep. 2023;18(12):4404-4408. Published 2023 Oct 6. PMID: 37829164 https://doi.org/10.1016/j.radcr.2023.09.0288 Minh LHN, Han LTK, Hau NV, Kiet NA, Phong TT, Duong NK, et al. Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report. Radiol Case Rep. 2023;18(12):4404-4408. Published 2023 Oct 6. PMID: 37829164 https://doi.org/10.1016/j.radcr.2023.09.028Wang D, Zhao X, Yuan H, Huo M, Li N. Colonoscopic removal of a retained surgical gauze in the peritoneal cavity: A case report. Asian J Surg. 2023;46(12):6023-6024. PMID: 37739900 https://doi.org/10.1016/j.asjsur.2023.09.0239 Wang D, Zhao X, Yuan H, Huo M, Li N. Colonoscopic removal of a retained surgical gauze in the peritoneal cavity: A case report. Asian J Surg. 2023;46(12):6023-6024. PMID: 37739900 https://doi.org/10.1016/j.asjsur.2023.09.023Zhu, Z., Zhu, J., & Qiao, Z. (2022). Ultrasound guidance for the removal of guide-wire sliding into abdominal cavity. Asian journal of surgery, 45(7), 1484–1486. PMID: 35283026 https://doi.org/10.1016/j.asjsur.2022.02.05910 Zhu, Z., Zhu, J., & Qiao, Z. (2022). Ultrasound guidance for the removal of guide-wire sliding into abdominal cavity. Asian journal of surgery, 45(7), 1484–1486. PMID: 35283026 https://doi.org/10.1016/j.asjsur.2022.02.059Hatgaonkar A, Hatgaonkar K, Bankar NJ. Unusual journey of migratory foreign bodies in the alimentary tract. Radiol Case Rep. 2023;18(11):4042-4047. PMID: 37680658 https://doi.org/10.1016/j.radcr.2023.08.01111 Hatgaonkar A, Hatgaonkar K, Bankar NJ. Unusual journey of migratory foreign bodies in the alimentary tract. Radiol Case Rep. 2023;18(11):4042-4047. PMID: 37680658 https://doi.org/10.1016/j.radcr.2023.08.011Kastiung T, Sortino R, Vines LC, Benigno L. Intra-abdominal foreign body as unexpected discovery mimicking suspicious malignancy. J Surg Case Rep. 2021;2021(6):rjab248. PMID: 34178304 https://doi.org/10.1093/jscr/rjab24812 Kastiung T, Sortino R, Vines LC, Benigno L. Intra-abdominal foreign body as unexpected discovery mimicking suspicious malignancy. J Surg Case Rep. 2021;2021(6):rjab248. PMID: 34178304 https://doi.org/10.1093/jscr/rjab248Sonarkar R, Wilkinson R, Nazar Z, Gajendra G, Sonawane S. Textiloma presenting as a lump in abdomen: A case report. Int J Surg Case Rep. 2020;77:206-209. PMID: 33176255 https://doi.org/10.1016/j.ijscr.2020.10.08113 Sonarkar R, Wilkinson R, Nazar Z, Gajendra G, Sonawane S. Textiloma presenting as a lump in abdomen: A case report. Int J Surg Case Rep. 2020;77:206-209. PMID: 33176255 https://doi.org/10.1016/j.ijscr.2020.10.081Szymocha M, Pacan M, Anufrowicz M, Jurek T, Rorat M. Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem. Pol Przegl Chir. 2019;91(6):35-40. PMID: 31849358 https://doi.org/10.5604/01.3001.0013.202414 Szymocha M, Pacan M, Anufrowicz M, Jurek T, Rorat M. Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem. Pol Przegl Chir. 2019;91(6):35-40. PMID: 31849358 https://doi.org/10.5604/01.3001.0013.2024Danial AK, Al-Jawad M, Lbabidi NA, Nabhan MH, Alhaj A. Upper gastrointestinal tract obstruction caused by a gossypiboma: A rare surgical case report. Int J Surg Case Rep. 2023;113:109067. PMID: 37992669 https://doi.org/10.1016/j.ijscr.2023.10906715 Danial AK, Al-Jawad M, Lbabidi NA, Nabhan MH, Alhaj A. Upper gastrointestinal tract obstruction caused by a gossypiboma: A rare surgical case report. Int J Surg Case Rep. 2023;113:109067. PMID: 37992669 https://doi.org/10.1016/j.ijscr.2023.109067

The authors declare that there are no conflicts of interest present.