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Gossypiboma in Thigh- A Case Report.

Ram Krishan Arora1, Karandeep Singh Johal1

  • 1Department of Orthopaedics, Sri Guru Ram Das Institute Medical Sciences & Research, Vallah, Sri Amritsar, Punjab-143 006, India.

Journal of Orthopaedic Case Reports
|June 15, 2016
PubMed
Summary

Gossypiboma, a retained surgical sponge, is a rare complication in musculoskeletal surgery. This case highlights the importance of vigilance during surgery to prevent retained foreign bodies and potential medicolegal issues.

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Area of Science:

  • Orthopedic Surgery
  • Surgical Complications
  • Medical Imaging

Background:

  • Gossypiboma, also known as textiloma or retained textile foreign body (RTFB), refers to a retained surgical sponge or swab.
  • This rare complication is infrequently encountered in musculoskeletal surgery.

Observation:

  • A case of an 18-year-old male with a retained surgical sponge (gossypiboma) discovered during surgery for a failed right femur plate.
  • The patient presented with a mid-thigh globular swelling, but no signs of infection or discharging sinuses.

Findings:

  • A full-sized surgical sponge was found embedded at the fracture site during revision surgery.
  • The gossypiboma was incidentally discovered during the operative procedure.

Implications:

Keywords:
gossypibomaosteoarticular surgery femurretained spongestextiloma

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  • Gossypiboma should be considered in the differential diagnosis for incidental masses, with or without sinus tracts.
  • Surgical teams must maintain heightened awareness and meticulous technique to prevent retained surgical sponges, avoiding serious medicolegal consequences.