| Oxidized regenerated cellulose presenting as a postoperative cyst: a case report. | |
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MedLine Citation:
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PMID: 18210903 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Barriers placed intraabdominally may aid in hemostasis and help prevent adhesion formation. CASE: A 17-year-old woman presented with acute pelvic pain and a complex pelvic mass. A laparotomy was performed. To ensure hemostasis, Surgicel (Johnson & Johnson Medical, Arlington, Texas) was placed, and Seprafilm (Genzyme Corp., Cambridge, Massachusetts) was used for adhesion prevention. Within the first postoperative day the patient's status deteriorated, with increasing pain and significant pyrexia. Computed tomography was highly suspicious for a bowel injury. Repeat laparotomy found no injury. The Surgicel was removed and the abdomen irrigated. The remaining postoperative course was uneventful. CONCLUSION: Seprafilm has been associated with acute reactions, and Surgicel has mimicked many radiologic abnormalities. It is imperative to inform the radiologist of the intraoperative use of these agents to allow use of a proper imaging modality in the postoperative period and to avoid unnecessary repeat surgeries. |
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Authors:
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David Jaspan; Vani Dandolu; Mark Miller; Charles Dunton |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 52 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2008-01-23 Completed Date: 2008-02-25 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 1109-10 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cellulose, Oxidized / adverse effects* Cysts / diagnosis Female Foreign Bodies / surgery* Humans Laparotomy Postoperative Complications / chemically induced* Reoperation Tissue Adhesions / prevention & control* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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82347-53-3/Surgicel; 9032-53-5/Cellulose, Oxidized |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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