Post Laparoscopic Myomectomy Gossypiboma with Cecum and Appendix Invasion: Case Report

Abstract

Introduction: Gossypiboma described retained surgical sponge in patient’s body after operations. That is a rare complication in laparoscopic surgeries, and due to vague and nonspecific clinical manifestations and also secondary complications such as perforation, fistula, and abscess formation. In this case report we describe a Gossypiboma after laparoscopic myomectomy with presentation of ambiguous pain and invasion into the cecum and appendix. So, it should be considered in susceptible patients even in laparoscopic surgeries. Case presentation: a 42-year-old woman with history of recent laparoscopic myomectomy and ambiguous pelvic pain from 3 months later. Imaging shows evidence of Gossypiboma. During the explorative laparotomy there was evidence of invasion of the cecum and appendix. And segmental resection had been done for patient. Patient with good condition had been discharged. Conclusion: Gossypiboma should be in the differential diagnosis of every post-surgery patient even in laparoscopic procedures.