[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-443546-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-443546-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","case-report-a-painful-twist-of-fate-due-to-intra-abdominal-textiloma-peer-reviewed-case-report-summary","Case Report: A Painful Twist of Fate Due to Intra-abdominal Textiloma - Peer-reviewed Case Report Summary","","Textiloma is a rare but serious retained surgical textile complication that can remain silent for years. The case involves a 38-year-old woman with persistent abdominal pain long after open ovarian cystectomy, with imaging showing a complex pelvic mass, abscess formation, and an enteric fistula. Endoscopic removal of a retained textile in the rectum was followed by generalized peritonitis and emergency laparotomy revealing two retained textilomas and multiple intestinal perforations, ending in septic shock on postoperative day one.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/case-report-a-painful-twist-of-fate-due-to-intra-abdominal-textiloma-peer-reviewed-case-report-summary/443546/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/case-report-a-painful-twist-of-fate-due-to-intra-abdominal-textiloma-peer-reviewed-case-report-summary/443546.png","ImageObject",300,407,{"name":42,"@type":43},"Valentina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is textiloma and why is it clinically important?","Question",{"text":63,"@type":64},"Textiloma refers to retained surgical textile material inside the body after an operation. It is rare but serious and can remain asymptomatic for years before causing severe complications.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What diagnostic findings led to identifying the retained surgical textile?",{"text":68,"@type":64},"Imaging revealed a complex pelvic mass with abscess formation and an enteric fistula. Endoscopic evaluation later identified a retained surgical textile in the rectum, which was extracted.",{"name":70,"@type":61,"acceptedAnswer":71},"How did the patient’s condition progress after extraction?",{"text":72,"@type":64},"After endoscopic removal, the patient developed generalized peritonitis and required emergency laparotomy. Surgery revealed two retained textilomas and multiple intestinal perforations, and the patient died from septic shock on postoperative day one.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},443546,1790889083,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":55,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","CASE REPORT  \nCase Report: A Painful Twist of Fate Due to Intra-abdominal  \nTextiloma  \n[version 1; peer review: 1 approved, 1 approved with reservations, 1 not approved]  \nRakia Siala 1, Mohamed Ali Mseddi 1, Haythem Yacoub2, EYA AZOUZ3, Hajer Hassine 2, Chaima Yacoubi 1, Meriem Hsairi 1, Fatma Trifa 4, Radhia Boubaker4, Nesrine Krifa 2, Sallemi Karim 1, Emna Khemakhem 1, Abdelwaheb Mghirbi4, Amal Bhira4, Yosra Yahia4, Souhir Mestiri2,  \nRami Guizani 1, Brahim Ghariani 1, Karim Sassi 1, Hamida Maghraoui4, Hela Kchir2, Mohamed Ben Slima 1  \n1General surgery “B” department, Rabta Hospital, Tunis, Tunis, Tunisia  \n2Gastroenterology “B” Department, Rabta Hospital, Tunis, Tunis, Tunisia  \n3 Medical Imaging Department, Rabta Hospital, Tunis, Tunis, Tunisia  \n4 Emergency department, Rabta Hospital, Tunis, Tunis, Tunisia  \nv1  \nFirst published: 19 Sep 2025, 14:947  \n[https://doi.org/10.12688/f1000research.169895.1](https://doi.org/10.12688/f1000research.169895.1)  \n[Latest published:](Latest published: 04 Dec 2025)[ 04 Dec 2025](Latest published: 04 Dec 2025), 14:947  \n[https://doi.org/10.12688/f1000research.169895.2](https://doi.org/10.12688/f1000research.169895.2)  \nAbstract  \nIntroduction  \nTextiloma refers to a retained surgical textile material within the body after surgery. It is a rare but serious iatrogenic complication that may remain asymptomatic for years.  \nCase Presentation  \nWe report a case of a 38-year-old woman with a history of open ovarian cystectomy 15 years earlier, presenting with persistent abdominal pain. Imaging revealed a complex pelvic mass with abscess formation and enteric fistula. Despite interventional drainage and antibiotic therapy, the patient developed signs of sepsis. Endoscopic evaluation revealed a retained surgical textile in the rectum, which was extracted. The patient subsequently developed generalized peritonitis and underwent emergency laparotomy revealing two retained textilomas and multiple intestinal perforations. Despite aggressive surgical intervention, the patient succumbed to septic shock on postoperative day one.  \nOpen Peer Review  \nApproval Status   \n1 2 3  \nversion 2  \n(revision)  \n04 Dec 2025  \nversion 1     \nview view view  \n19 Sep 2025  \n1. Faiz Tuma , Central Michigan University College of Medicine, Saginaw, USA  \n2. Muhammad Nabeel Saddique , King Edward Medical University, Lahore, Pakistan  \n3. Tetsuya Ishimaru , National Center for Child Health and Development, Setagaya, Japan  \nAny reports and responses or comments on the  \narticle can be found at the end of the article.  \nConclusion  \nTextiloma should be considered in patients with atypical abdominal masses and previous surgical history. Preventive strategies and early recognition are critical to avoid fatal outcomes.  \nKeywords  \nTextiloma, intestinal perforation, peritonitis  \nCorresponding author: Mohamed Ali Mseddi ([mseddibaka@gmail.com](mseddibaka@gmail.com))  \nAuthor roles: Siala R: Conceptualization, Supervision, Validation; Mseddi MA: Conceptualization, Writing – Original Draft Preparation, Writing – Review & Editing; Yacoub H: Resources, Supervision; AZOUZ E: Resources, Supervision; Hassine H: Supervision; Yacoubi C: Supervision; Hsairi M: Supervision; Trifa F: Supervision; Boubaker R: Supervision; Krifa N: Supervision; Karim S: Supervision;  \nKhemakhem E: Supervision; Mghirbi A: Supervision; Bhira A: Supervision; Yahia Y: Supervision; Mestiri S: Supervision; Guizani R: Supervision; Ghariani B: Supervision; Sassi K: Supervision; Maghraoui H: Supervision; Kchir H: Supervision; Ben Slima M: Supervision, Validation  \nCompeting interests: No competing interests were disclosed.  \nGrant information: The author(s) declared that no grants were involved in supporting this work.  \nCopyright: © 2025 Siala R et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is ","cbCaicrhtlxgffW8","https://ap.wps.com/l/cbCaicrhtlxgffW8","pdf",1234819,13,"English","# Introduction\n# Case Presentation\n## Endoscopic findings\n## Emergency laparotomy and outcome\n# Open Peer Review\n# Conclusion","[{\"question\":\"What is textiloma and why is it clinically important?\",\"answer\":\"Textiloma refers to retained surgical textile material inside the body after an operation. It is rare but serious and can remain asymptomatic for years before causing severe complications.\"},{\"question\":\"What diagnostic findings led to identifying the retained surgical textile?\",\"answer\":\"Imaging revealed a complex pelvic mass with abscess formation and an enteric fistula. Endoscopic evaluation later identified a retained surgical textile in the rectum, which was extracted.\"},{\"question\":\"How did the patient’s condition progress after extraction?\",\"answer\":\"After endoscopic removal, the patient developed generalized peritonitis and required emergency laparotomy. Surgery revealed two retained textilomas and multiple intestinal perforations, and the patient died from septic shock on postoperative day one.\"}]","Case Report: A Painful Twist of Fate Due to Intra-abdominal Textiloma - Peer-reviewed Case Report Summary | PDF",1790704385,33]