Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature
The term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investiga...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/713428 |
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| author | K. N. Srivastava Amit Agarwal |
| author_facet | K. N. Srivastava Amit Agarwal |
| author_sort | K. N. Srivastava |
| collection | DOAJ |
| description | The term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 38-year-old lady who presented with vague pain and chronic lump in the right iliac fossa region. She had a history of cesarean section 4 years ago. Radiological investigations were inconclusive in detecting the retained sponge. A working diagnosis of mesenteric cyst was made and an exploratory laparotomy was done where she was found to have a large gossypiboma densely adhered to the small bowel and surrounding structures. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation. |
| format | Article |
| id | doaj-art-affc7ed1dd5943438c13010eeb0a7d18 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-affc7ed1dd5943438c13010eeb0a7d182025-08-20T02:19:06ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/713428713428Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the LiteratureK. N. Srivastava0Amit Agarwal1Department of General and Minimal Access Surgery, B. L. Kapur Super Speciality Hospital, Pusa Road, New Delhi 110005, IndiaDepartment of General and Minimal Access Surgery, B. L. Kapur Super Speciality Hospital, Pusa Road, New Delhi 110005, IndiaThe term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 38-year-old lady who presented with vague pain and chronic lump in the right iliac fossa region. She had a history of cesarean section 4 years ago. Radiological investigations were inconclusive in detecting the retained sponge. A working diagnosis of mesenteric cyst was made and an exploratory laparotomy was done where she was found to have a large gossypiboma densely adhered to the small bowel and surrounding structures. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation.http://dx.doi.org/10.1155/2014/713428 |
| spellingShingle | K. N. Srivastava Amit Agarwal Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature Case Reports in Surgery |
| title | Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature |
| title_full | Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature |
| title_fullStr | Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature |
| title_full_unstemmed | Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature |
| title_short | Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature |
| title_sort | gossypiboma posing as a diagnostic dilemma a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2014/713428 |
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