{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:09:14Z","timestamp":1762474154032,"version":"build-2065373602"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T00:00:00Z","timestamp":1529971200000},"content-version":"vor","delay-in-days":176,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Surgical materials, such as gauze, can be accidentally left inside of patients following surgery. This iatrogenic complication should be avoided and is often prevented by routine X\u2010ray analysis after surgical abdominal procedures. We report a case of retained barium in the appendix that was difficult to distinguish from surgical remnants. A 41\u2010year\u2010old Japanese female was diagnosed with uterine leiomyoma and underwent laparoscopic myomectomy. The postoperative X\u2010ray test showed a cord\u2010like material in the lower right abdomen that was not captured in the preoperative X\u2010ray test two months prior to the operation. Because of this difference, the area was reexamined laparoscopically. After examination, we concluded that the cord\u2010like material in X\u2010ray tests was in fact retained barium in the appendix. Barium can be retained in the appendix for long periods of time, and retained barium in the appendix can be captured radiographically and can mimic the appearance of surgical remnants, appearing as a cord\u2010like material. The knowledge above combined with detailed interviews before surgery could prevent such confusion during interpretation of X\u2010ray tests after surgery.<\/jats:p>","DOI":"10.1155\/2018\/2589080","type":"journal-article","created":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T19:31:06Z","timestamp":1530041466000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5703-6288","authenticated-orcid":false,"given":"Masakazu","family":"Sato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minako","family":"Koizumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Hino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsuki","family":"Nagashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nao","family":"Itaoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiharu","family":"Ueshima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maki","family":"Nakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoko","family":"Hasumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,26]]},"reference":[{"key":"e_1_2_6_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60273-6"},{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008236"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(08)70063-7"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12112"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.05.025"},{"key":"e_1_2_6_6_2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-219706","article-title":"Imaging of foreign bodies: A radiological conundrum","volume":"2017","author":"Thomas M.","year":"2017","journal-title":"BMJ Case Reports"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12428"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.17235\/reed.2016.4225\/2016"},{"key":"e_1_2_6_9_2","first-page":"203","article-title":"Laparoscopic removal of retained surgical gauze","volume":"7","author":"Mousavi-Bahar S. 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