ABSTRACT
A case of a retained sponge: “JS ” is a 60-yearold female with adenocarcinoma of the colon. Dr. ABC is her surgeon, relatively new in prac tice and trying to make a good impression in the community. Almost two weeks ago her surgeon performed on Ms. S a right hemi colectomy. Ms. S’s post-op course initially seemed uneventful. Unfortunately, three days after discharge she developed abdominal pain and episodes of vomiting. She called and Dr. ABC instructed her to come in for evalu ation. The exam revealed an elevated temper ature and diffuse abdominal tenderness. An abdominal film suggests a retained sponge. Ms. S needs surgery to remove the sponge. Dr. ABC has asked you for advice on how best to explain to Ms. S her need for a second surgery. What guidance is available?
