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Published 26 February 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.07.2008.0519]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Learning from errors

Retained surgical swab following breast augmentation: a rare cause of a breast mass

Bedanta Prakash Baruah1, Phillipa Young2, Anthony Douglas-Jones3, Robert Mansel1

1 University Hospital of Wales, Academic Department of Surgery, Heath Park, Cardiff CF14 4XW, UK
2 Department of Radiology, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK
3 Department of Histopathology, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK

Correspondence to:
dr_bpbaruah{at}hotmail.com

SUMMARY

Retained surgical swab or sponge following surgery is an uncommon finding seen most commonly following abdominal and pelvic procedures. Reports of such lesions in the breast are particularly rare with only two previously published cases. We report here the first case of a retained swab following breast augmentation where unique diagnostic problems are encountered because of the presence of implants. This case shows that a retained swab should be considered in the differential diagnosis of any postoperative breast mass and highlights that ignoring the fundamental principles of any surgical procedure can cause serious complications.


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