Accidental Ingestion of Surgical Gauze: Risks and Outcomes

Accidental ingestion of gauze?

Hello, doctor.
What will happen if a small piece of gauze is accidentally swallowed? Can it be expelled from the body without any issues?

Celine, 20~29 year old female. Ask Date: 2021/04/23

Dr. Chen Jiaming reply Surgery

Swallowing a small piece of gauze usually passes naturally and is not a cause for concern.

Reply Date: 2021/04/23

More Info

Accidental ingestion of surgical gauze, while not a common occurrence, can pose several risks and potential complications depending on various factors such as the size of the gauze, the individual's overall health, and the location within the gastrointestinal (GI) tract where the gauze may end up.

When a small piece of gauze is ingested, the first concern is whether it can pass through the digestive system without causing any obstruction. In many cases, if the gauze is small enough, it may pass through the GI tract and be expelled naturally in the stool. However, there are several factors to consider:
1. Size and Composition: Surgical gauze is typically made from cotton or a similar material, which is generally not harmful if ingested in small amounts. However, larger pieces or those that may expand when wet can lead to blockages in the intestines.

2. Location of the Gauze: If the gauze becomes lodged in a narrow part of the GI tract, such as the ileum (the last part of the small intestine) or the colon, it could cause an obstruction. Symptoms of obstruction may include severe abdominal pain, vomiting, constipation, and bloating.

3. Risk of Infection: If the gauze is not sterile, there is a risk of introducing bacteria into the GI tract, which could lead to infections or other complications.

4. Monitoring Symptoms: After accidental ingestion, it is crucial to monitor for any symptoms. If the individual experiences abdominal pain, vomiting, or any other concerning symptoms, it is essential to seek medical attention promptly.

5. Medical Evaluation: In some cases, a healthcare provider may recommend imaging studies, such as an X-ray or CT scan, to determine the location of the gauze and assess for any potential complications. If there is a risk of obstruction or if the gauze does not pass within a reasonable timeframe, further intervention may be necessary.

6. Endoscopic Retrieval: If the gauze is found to be lodged and causing an obstruction, an endoscopic procedure may be performed to retrieve it. In more severe cases, surgical intervention may be required.

In conclusion, while accidental ingestion of a small piece of surgical gauze may not always lead to serious complications, it is essential to monitor for symptoms and seek medical advice if any concerning signs arise. Most individuals will likely pass the gauze without issue, but being vigilant and proactive in seeking medical care is crucial to ensure safety and prevent potential complications.

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