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Gossypiboma: a case report.

Ali Aminian1

  • 1Department of General Surgery, Tehran University of Medical Sciences, Tehran, Iran. aliaminian@doctor.com.

Cases Journal
|October 9, 2008
PubMed
Summary
This summary is machine-generated.

Gossypiboma, a retained surgical sponge, can cause a palpable abdominal mass years after surgery. This rare complication requires considering retained foreign bodies in postoperative patients with new masses or infections.

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Area of Science:

  • Medical Complications
  • Surgical Pathology
  • Radiology

Background:

  • Gossypiboma is a rare complication resulting from a retained surgical sponge.
  • It presents as a mass lesion due to foreign-body reaction.
  • Delayed presentation can occur years after the initial procedure.

Purpose of the Study:

  • To highlight the diagnostic challenges and clinical presentation of gossypiboma.
  • To emphasize the importance of considering retained foreign bodies in postoperative patients.

Main Methods:

  • Case report of a 27-year-old female presenting with a palpable abdominal mass.
  • Radiological diagnosis of a retained foreign body.
  • Confirmation via surgical exploration.

Main Results:

  • A gossypiboma was identified five years after a cesarean section.
  • The retained sponge was confirmed as the cause of the abdominal mass.
  • Imaging was crucial in preoperative diagnosis.

Conclusions:

  • Gossypiboma should be included in the differential diagnosis for postoperative patients presenting with abdominal masses.
  • Timely diagnosis and surgical intervention are essential for managing retained surgical items.