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Gossypiboma after breast augmentation.

Kira Lundin¹, Julie E Allen, Lene Birk-Soerensen

¹Department of Plastic Surgery, Aalborg University Hospital, Soendre Skovvej 3, 9000 Aalborg, Denmark.

Case Reports in Surgery

|March 12, 2013

Summary

This summary is machine-generated.

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A retained surgical sponge, known as a gossypiboma, was unexpectedly discovered during breast implant removal. This rare complication highlights the critical importance of meticulous surgical counts to prevent retained surgical materials.

Area of Science:

Plastic Surgery
Surgical Complications
Medical Imaging

Background:

A 39-year-old woman presented with complications following breast implant exchange, including asymmetry, pain, and unsatisfactory cosmetic outcomes.
Initial imaging suggested silicone-related issues, prompting surgical intervention for presumed siliconoma removal.

Purpose of the Study:

To report an extremely rare case of gossypiboma (retained surgical sponge) mimicking siliconoma after plastic surgery.
To emphasize the diagnostic challenges and the importance of surgical counts in preventing retained surgical materials.

Main Methods:

Review of a clinical case involving a patient with breast implant complications.
Surgical exploration and removal of presumed silicone-imbibed breast tissue.

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Last Updated: May 13, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Published on: May 17, 2024

Histopathological examination of the excised tissue.

Main Results:

Surgical removal revealed a gossypiboma, not siliconoma as initially suspected based on MRI findings.
The gossypiboma was located in the upper pole of the right breast and had not been identified on preoperative MRI.
This represents an extremely rare occurrence of a retained surgical sponge in the context of plastic surgery.

Conclusions:

Gossypiboma is a rare but serious complication that can occur even in plastic surgery.
Diagnostic imaging may not always detect retained surgical materials like gossypibomas.
Strict adherence to surgical counts of sponges and instruments is crucial to prevent such incidents.