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Intraabdominal Gossypibomas with variable CT appearance: A case report.

Kulsoom Fatima1

  • 1Aga Khan University Hospital, Karachi, Pakistan.

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PubMed
Summary
This summary is machine-generated.

Retained surgical sponges, or gossypibomas, are rare complications after abdominal surgery. This case highlights diagnostic challenges, emphasizing imaging

Keywords:
Gossypiboma, intraabdominal,surgical sponge, computerized tomography, ultrasound.

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Area of Science:

  • Surgical Complications
  • Medical Imaging
  • Abdominal Surgery

Background:

  • Gossypiboma, a retained surgical sponge, is a rare but underreported complication, predominantly following abdominal surgeries.
  • Clinical presentation and timing of gossypiboma are highly variable, with a significant proportion of patients remaining asymptomatic.

Observation:

  • A 30-year-old woman presented with persistent abdominal pain post-Caesarean section.
  • Initial computed tomography (CT) revealed two intra-abdominal gossypibomas with distinct appearances; one mimicked a retained foreign body, the other a solid ovarian mass.
  • Ultrasound demonstrated similar appearances for both lesions, suggesting the left lower abdominal mass was also a gossypiboma.

Findings:

  • The case underscores the diagnostic challenges posed by gossypibomas due to varied presentations.
  • Imaging modalities, including CT and ultrasound, played a crucial role in identifying the retained foreign bodies.
  • Laparotomy confirmed the presence of two intra-abdominal gossypibomas.

Implications:

  • This case emphasizes the importance of high clinical suspicion and comprehensive imaging in diagnosing retained surgical sponges.
  • Misinterpretation of imaging findings can delay diagnosis and treatment, highlighting the need for careful radiological evaluation.
  • Accurate and timely diagnosis of gossypiboma is critical to prevent potential complications and ensure patient safety.