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Related Concept Videos

Glycosaminoglycans01:23

Glycosaminoglycans

Glycosaminoglycans (GAGs), also known as mucopolysaccharides, are long and linear polymers comprising of specific repeating disaccharides - the amino sugar that can be N-acetylglucosamine or N-acetylgalactosamine, and a uronic acid that is usually glucuronic acid or iduronic acid.
GAGS are found in the extracellular matrix of vertebrates, invertebrates, and bacteria. Due to their polar nature they attract water, and serve as excellent lubricants or shock absorbers in an animal body.
Hyaluronic...
Bone Markings01:26

Bone Markings

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Gallbladder

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Related Experiment Video

Updated: Jun 18, 2026

A Microfluidic Device for Quantifying Bacterial Chemotaxis in Stable Concentration Gradients
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Gossypiboma: a ghastly find.

Aitor de Gea Rico1, Priya Krishna1, Hannah Louise Devlin1

  • 1General Surgery Department, Whipps Cross University Hospital, London, UK.

BMJ Case Reports
|September 28, 2018
PubMed
Summary

A gossypiboma, a retained surgical sponge, caused severe epigastric pain and vomiting in a patient 16 years after surgery. Surgical removal was necessary due to complications.

Area of Science:

  • Medical Case Reports
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Gossypiboma is a rare complication of surgery, presenting as a foreign body granuloma encapsulating surgical material.
  • Delayed presentation can mimic other abdominal pathologies, complicating diagnosis.

Observation:

  • A 32-year-old male presented with acute epigastric pain and hematemesis.
  • History of a road traffic accident requiring emergency laparotomy 16 years prior.
  • Gastroscopy revealed extrinsic stomach compression; imaging showed a large cystic mass.

Findings:

  • The mass contained a large surgical gauze, indicative of a gossypiboma.
  • Conservative management with percutaneous drainage was unsuccessful.
  • Surgical excision required distal pancreatectomy and gastrectomy due to complications.
Keywords:
gastrointestinal surgerysurgery

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Implications:

  • This case highlights the importance of considering gossypiboma in patients with a surgical history presenting with vague abdominal symptoms.
  • Delayed diagnosis and management can lead to significant morbidity, necessitating complex surgical intervention.
  • Emphasizes meticulous surgical counts and postoperative surveillance to prevent gossypiboma formation.