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Appendicitis

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Gossypiboma presenting as mesosigmoid abscess [corrected].

D Paramythiotis¹, A Michalopoulos, V N Papadopoulos

¹1st Propedeutic Surgical Department, Aristotle's University of Thessaloniki, AHEPA University Hospital, Tzavella 2D Str, Pylaia, 55535 Thessaloniki, Greece. danosprx@med.auth.gr

Techniques in Coloproctology

|September 3, 2011

Summary

Gossypiboma, a retained surgical material complication, can cause serious issues like abscesses. Early diagnosis and prevention are crucial for patient safety after surgery.

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Area of Science:

Surgical complications
Medical imaging in diagnostics

Background:

Gossypiboma, a retained foreign body, occurs in 1 in 1,000-10,000 procedures.
It can lead to severe complications such as peritonitis, abscess, bowel obstruction, or perforation.

Observation:

An 80-year-old female presented with chronic abdominal pain and fever.
Imaging (CT and MRI) suggested carcinoma or pelvic abscess.
Patient had a history of hysterectomy and mesh hernia repair.

Findings:

Exploratory laparotomy identified an abscess in the mesosigmoid.
Histopathology confirmed the mass as a gossypiboma.
Sigmoidectomy was performed, with an uneventful postoperative recovery.

Implications:

Retained surgical materials pose diagnostic challenges due to non-specific symptoms and delayed presentation.
Emphasizes the critical importance of preventative measures in surgical practice.