Abstract

BackgroundIntravesical retained surgical sponges are very rare and only a few cases have been removed by minimally invasive techniques.Case presentationWe report a case of an intravesical gossypiboma in a 71-year-old man from western Nepal, who presented with urinary retention and persistent lower urinary tract symptoms one year after open cystolithotomy. He was diagnosed with an intravesical mass using ultrasonography. The retained surgical sponge was found during cystoscopy and removed through endoscopy.ConclusionIntravesical gossypibomas are rare and can mimic a bladder mass. This is one of the few reported cases of cystoscopic removal.

Highlights

  • Intravesical retained surgical sponges are very rare and only a few cases have been removed by minimally invasive techniques.Case presentation: We report a case of an intravesical gossypiboma in a 71-year-old man from western Nepal, who presented with urinary retention and persistent lower urinary tract symptoms one year after open cystolithotomy

  • Gossypiboma denotes a foreign body made of cotton that is retained inside the patient during surgery [1]

  • We report a case of a retained intravesical sponge following open cystolithotomy, with transurethral removal under cystoscopic guidance

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Summary

Background

Gossypiboma denotes a foreign body made of cotton that is retained inside the patient during surgery [1]. It is an uncommon condition, it is the dread of every surgeon. We report a case of a retained intravesical sponge following open cystolithotomy, with transurethral removal under cystoscopic guidance. Case presentation A 71-year-old man from western Nepal presented to us with a history of urinary retention for 20 days for which a urinary catheter was placed.

Discussion
Conclusion
Rafique M
13. Rafique M

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