Abstract

Gossypiboma, a retained foreign body after surgery, is a rare complication. It appears years after surgery, has nonspecific symptoms, and is usually identified on imaging sequences. We present here an asymptomatic case of a 32 years old lady with a history of laparotomy done two years earlier. She was initially misdiagnosed clinically and radiologically as hydatid cyst of pelvis. During re-surgery, foreign body was detected. Postoperative period was uneventful. To prevent these types of complications, we have to follow the main principle of surgery in all procedures i.e. ensuring a proper count of surgical materials before and after surgery.

Highlights

  • A gossypiboma refers to a foreign object such as sponge, gauze left accidently behind in body cavity during operation

  • Definitive diagnosis and management is through operative procedure

  • Et al / Gossypiboma can remain asymptomatic for a long time unknown

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Summary

Introduction

A gossypiboma refers to a foreign object such as sponge, gauze left accidently behind in body cavity during operation. It is derived from Latin word “gossypium” (cotton) and swahili word “boma” (place of concealment)[1]. A 32 years regularly menstruating woman during her regular checkup was diagnosed incidentally to have a big complex pelvic mass on ultrasonogram, suspected as hydatid cyst Magnetic resonance imaging (MRI) done was in favor of hydatid cyst of pelvis She was a para second lady; both were normal vaginal deliveries in hospital. She gave history of laparotomy done two years back for ectopic pregnancy.

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