Gossypiboma in the early post-operative period: A diagnostic problem

A Study of Abdominal Gossypiboma

“…Apter et al 8 and Botet Del Castillo et al 9 reported that retained sponge is most frequent after gynaecological procedures followed by upper abdominal operations.…”

“…Intraabdominal gossypibomas can migrate into the ileum, stomach, colon or bladder without any apparent opening in the wall of these luminal organs. 8 Although the most common site reported is the abdominal cavity, almost any cavity or surgical procedure may be involved. Other sites reported are the nose, tracheobronchial tree, breast, pancreas, pararenal space, vagina, femur and spine.…”

Gossipyboma in the Breast: A Rare Case Report

“…While it may be determined coincidentally especially in internal abdominal organs, it can sometimes be fatal [1]. Although in surface tissue such as in the breast, findings are generally evident very soon, different clinical findings may be observed from asymptomatic granulomatosis to the appearance of abscessfistula [5,6].…”

Intestinal Obstruction Due to Retained, Eroding Surgical Sponge: A Case Report

“…The incidence of gossypiboma varies between 1 in 100 and 1 in 3000 procedures [2] . Gossypiboma can be discovered within the first 2 weeks [3] or many years later, the longest being 30 years post operatively [4] . Its presentation varies from being asymptomatic (found accidentally or may never be discovered) to fatal complications.…”

“…CT finding have described foreign body granuloma as round sharply outlined mass with dense enhancing wall. The centre of the lesion have heterogenous densities created by a whirllike structure of high or low attenuation [3,12] .…”