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Published on: May 22, 2016

The Enigma of Gossypiboma: An Entity to Explore

Quinn Basso, Alfredo E Walker

    Academic Forensic Pathology
    |May 26, 2025
    PubMed

    Insights

    Gossypibomas, retained surgical sponges, are rare but dangerous complications. This case highlights a delayed diagnosis and fatal bowel obstruction caused by a migrated gossypiboma, emphasizing underreporting issues.

    Area of Science:

    • Medical Case Reports
    • Surgical Complications
    • Gastrointestinal Surgery

    Background:

    • Gossypibomas, or retained surgical sponges, are infrequent yet severe medical complications.
    • They often arise from emergency abdominal or gynecological procedures but can occur in any surgery involving sponges.

    Purpose of the Study:

    • To present a case of a delayed abdominal gossypiboma.
    • To discuss the risks of sponge migration and subsequent complications.
    • To highlight the issue of underreporting in gossypiboma cases.

    Main Methods:

    • Case report of a 90-year-old female patient.
    • Review of medical history following a salpingo-oophorectomy.
    • Analysis of delayed diagnosis and cause of death.

    Main Results:

    • An abdominal gossypiboma was identified over a decade post-surgery.
    • The gossypiboma migrated into the colon, causing a fatal bowel obstruction.
    • Delayed identification and underreporting were noted as significant issues.

    Conclusions:

    • Gossypibomas can lead to severe, life-threatening complications years after initial surgery.
    • Surgical sponge migration poses a significant risk, as illustrated by this case.
    • Addressing the underreporting of gossypibomas is crucial for improving prevention and patient safety.
    Keywords:
    gossypibomatextilomatransmural migration

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