Case Report: Gossypiboma in a 30 Year Old Female

Abstract

Surgical materials are sometimes inadvertently left in the body after surgeries,Cotton materials are the commonest objects forgotten[1]. The implications for the patient and the surgeon are serious . A signicant complication of surgical practice is gossypiboma [2]. Despite signicant interest and numerous guidelines, there are few known incidents because of a multitude of variables , including possible legal repercussions .[2] Gossypiboma, also called textiloma or cottonoid , refers to a foreign object , such as cotton matrix or a sponge , inadvertently left in the body cavity at the end of a surgical operation[3]. Here we describe a rare instance of transluminal surgical sponge migration in a 30 year old female who underwent low transverse cesarean section 3 months ago and presents with abdominal distention, anorexia , constipation and weight loss. She was thoroughly evaluated with imaging and suspected features of subacute small bowel obstruction . Patient underwent diagnostic laparoscopy with bowel resection and anastomoses , Patient eventually got better and was discharged .