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Retained Surgical Gauze Presenting With Gross Hematuria: A Case Report
Babak Javanmard1, Mohammad Reza Yousefi1, Behrouz Fadavi1
1Urology department, Shohadaye Tajrish hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:
Gossipyboma is a mass which is made around a cotton sponge or abdominal compress retained in a patient during surgery accidentally. Patients manifest with either acute or chronic symptoms due to complications. Here in wereported an 89-year-old man case of transvesical migration of gossipyboma who presented with gross hematuria with a history of transvesical prostatectomy 6 years ago. Patient underwent exploratory laparotomy with repairing of the bladder and peritoneum. He had no complications during surgery and was subsequently discharged.
Insights
A gossyboma, a retained surgical sponge, migrated into the bladder in an 89-year-old man, causing gross hematuria. Surgical repair was successful, with no complications. This case highlights rare gossyboma complications.
Area of Science:
- Medical Case Reports
- Surgical Complications
- Urology
Background:
- Gossyboma, a retained surgical sponge or compress, can lead to delayed patient complications.
- Transvesical migration is a rare but serious sequela of intra-abdominal gossyboma.
Observation:
- An 89-year-old male presented with gross hematuria.
- The patient had a history of transvesical prostatectomy six years prior.
- Imaging revealed a gossyboma that had migrated into the bladder.
Findings:
- Transvesical migration of gossyboma occurred in this patient.
- Surgical intervention involved exploratory laparotomy and bladder repair.
- The patient experienced an uncomplicated surgical recovery.
Implications:
- This case underscores the importance of meticulous surgical counts to prevent gossyboma.
- Delayed diagnosis and management of gossyboma are crucial for preventing severe complications.
- Transvesical migration presents unique diagnostic and therapeutic challenges in urology.
