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An iron deficiency anemia of unknown cause: a case report involving gossypiboma

Authors
Journal
Clinics
1807-5932
Publisher
Fundacao Faculdade de Medicina
Publication Date
Volume
65
Issue
5
Identifiers
DOI: 10.1590/s1807-59322010000500014
Keywords
  • Letters To The Editor
Disciplines
  • Ecology
  • History
  • Medicine

Abstract

CLINICS 2010;65(5):555-8 Copyright © 2010 CLINICS – This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. LETTER TO THE EDITOR I Divisão de Clinica Médica do Hospital Universitário, Universidade de São Paulo - São Paulo/SP, Brazil. II Divisão de Clinica Cirúrgica do Hospital Universitário, Universidade de São Paulo - São Paulo/SP, Brazil. III Serviço de Iconologia do Hospital Universitário, Universidade de São Paulo - São Paulo/SP, Brazil. IV Serviço de Anatomia Patológica do Hospital Universitário, Universidade de São Paulo - São Paulo/SP, Brazil. V Departamento de Clínica Médica do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - São Paulo/SP, Brazil. Email: [email protected] Tel.: 55 11 3091-9275 AN IRON DEFICIENCY ANEMIA OF UNKNOWN CAUSE: A CASE REPORT INVOLVING GOSSYPIBOMA doi: 10.1590/S1807-59322010000500014 Fernando Ferraz de Campos,I Fabio Franco,I Linda Ferreira Maximiano,II João Augusto Santos Martinês,III Aloisio Souza Felipe-Silva,IV Thiago Alexandre KunitakeV INTRODUCTION Gossypiboma (from [Latin] “gossypium” (cotton) and [Swahili] “boma” (place of concealment)) is defined as a mass of cotton matrix or sponge accidentally retained in the body postoperatively. Patients may be asymptomatic or may present non-specific clinical symptoms or serious complications in the early postoperative period as well as months or years after the operation. We present the case of a woman who sought medical attention due to uncharacteristic abdominal pain, weight loss and chronic refractory anemia. She had undergone gynecological operations 16 and 13 years prior. CASE PRESENTATION A 58-year-old woman with a medical history of a total abdominal hysterectomy with right oophorectom

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