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Sept 23, 1968

Migration of Surgical Sponge Into Small Intestine

Author Affiliations

Wilmington, NC

JAMA. 1968;205(13):938-939. doi:10.1001/jama.1968.03140390062023

To the Editor:—  The fate of retained foreign bodies after surgical operations is often unrecorded because of an understandable reluctance to publish matters with mediocolegal implications. It is often necessary to consult older publications for the potential behavior of such foreign bodies.

Report of a Case:—  A woman of middle age was admitted to the hospital because of intermittent abdominal pain and recurrent vomiting of four days' duration. On the day of admission the vomitus had become fecal in quality. A pelvic operation had been done through a low midline abdominal incision three or four years previously. The patient stated that there was separation of the wound five or six days after the operation and that a secondary closure had been necessary.At the time of examination there was a broad low midline surgical scar and the abdomen was distended. Peristalsis was high pitched and infrequent. X-ray film of the