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Related Experiment Video

Updated: Apr 26, 2026

Author Spotlight: Patient-Informed 3D Model for Studying Glioblastoma Invasion via Interstitial Fluid Flow
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Intraluminal gossypiboma.

Yousuf Aziz Khan1, Muhammad Asif1, Wasmi Al-Fadhli1

  • 1Ibn Sina Specialized Surgical Hospital, Al-Sabah Health Region, Kuwait.

APSP Journal of Case Reports
|July 25, 2014
PubMed
Summary
This summary is machine-generated.

Gossypiboma, a retained surgical sponge, is a rare complication causing intestinal obstruction. This case highlights its importance in surgical differential diagnoses, even in young patients with prior surgeries.

Keywords:
ChildrenGossypibomaRetained surgical spongeSplenectomyThalassemia

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Area of Science:

  • Surgical Complications
  • Gastrointestinal Surgery
  • Medical Case Reports

Background:

  • Gossypiboma, or retained surgical sponge, is a rare but serious postoperative complication.
  • It often goes unreported due to medico-legal concerns.
  • Patients may present with vague or severe symptoms long after surgery.

Observation:

  • An 8-year-old girl with thalassemia, who had undergone splenectomy and cholecystectomy, presented with acute intestinal obstruction.
  • Surgical exploration revealed an intraluminal gossypiboma causing ileal obstruction.
  • The patient's history of multiple surgeries may have contributed to the complication.

Findings:

  • The primary finding was an intraluminal gossypiboma obstructing the small intestine (ileum).
  • This represents a rare cause of intestinal obstruction.
  • The gossypiboma was successfully removed surgically.

Implications:

  • Gossypiboma should be considered in the differential diagnosis of postoperative intestinal obstruction, regardless of patient age or complexity of prior surgeries.
  • Increased vigilance and improved surgical safety protocols are crucial to prevent retained surgical items.
  • Early diagnosis and management are essential to avoid severe complications such as obstruction and sepsis.