https://doi.org/10.4081/acbr.2023.357

Gossypiboma, a rare cause of failure in surgical intervention: a case report and review of literature

Vol. 4 No. 2 (2023)
Submitted: 17 July 2023
Accepted: 4 August 2023
Published: 11 September 2023
Gossypiboma, granuloma, pathology, gauze, surgery
Abstract Views: 116
PDF: 12
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Authors

Francis I. Ukekwe
francis.ukekwe@unn.edu.ng
Department of Morbid Anatomy, University of Nigeria, Enugu Campus/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Onyekachi C. Nwokoro
Department of Morbid Anatomy, University of Nigeria, Enugu Campus/University of Nigeria Teaching Hospital, Enugu, Nigeria.
Celestine E. Nnamani
https://orcid.org/0000-0002-2654-7608
Department of General Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Isaiah O. Nwidenyi
Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Ikechukwu Ugwueke
Department of General Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.

Gossypiboma (GB) is a rare but avoidable cause of failure in surgical intervention due to retention of a surgical swab in the body after an operation. It leads to potentially fatal complications with far reaching medico-legal implications. We report a case of a 28-year-old female who presented with a month history of severe abdominal pain following a myomectomy surgery. Abdominopelvic ultrasound and Computed Tomography (CT) reported an ill-defined mass in the abdomen. Exploratory laparotomy revealed extensive peritoneal adhesions, and a hard mass walled off by the greater omentum and adherent to the jejunum. Histopathological evaluation of the excised mass showed gauze-like material surrounded by intense granulomatous inflammation, adherent to intestinal segments. She was subsequently treated with ceftriaxone, metronidazole and pentazocine, and discharged home after an uneventful postoperative period.

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Europe PMC
Sun HS, Chen SL, Kuo CC, et al. Gossypiboma—Retained Surgical Sponge. J Chin Med Assoc 2007;70:511-3. DOI: https://doi.org/10.1016/S1726-4901(08)70051-0
Aminian A. Gossypiboma: a case report. Cases J 2008;7:220. DOI: https://doi.org/10.1186/1757-1626-1-220
Sheehan RE, Sheppard MN, Hansell DM. Retained intrathoracic surgical swab: CT appearances. J Thorac Imaging 2000;15:61-4. DOI: https://doi.org/10.1097/00005382-200001000-00012
Ebner F, Tölly E, Tritthart H: Uncommon intraspinal space occupying lesion (foreign-body granuloma) in the lumbosacral region. Neuroradiology 1985;27:354-6. DOI: https://doi.org/10.1007/BF00339572
Manzella A, Filho PB, Albuquerque E, et al. Imaging of gossypibomas: pictorial review. AJR Am J Roentgenol 2009;193:94-101. DOI: https://doi.org/10.2214/AJR.07.7132
Lata I, Kapoor D, Sahu S. Gossypiboma, a rare cause of acute abdomen: a case report and review of literature. Int J Crit Illn Inj Sci 2011;1:157-60. DOI: https://doi.org/10.4103/2229-5151.84805
Enugu State Nigeria Medical Association. Abstracts of the Annual General Meeting of the Enugu State Nigeria Medical Association, 2022. Ann Clin Biomed Res 2022;3:303. DOI: https://doi.org/10.4081/acbr.2022.303
Gothwal M, Rodha M, Surekha B, et al. Gossypiboma: A Nightmare for Surgeon: A Rare Case with Review of Literature. J Midlife Health 2019;10:160-2. DOI: https://doi.org/10.4103/jmh.JMH_105_18
El Zemity H, Hakami N, Alfaki MA, et al. Intra-Abdominal Gossypiboma: A Rare Cause of Palpable Abdominal Mass with a Review of Literature. Cureus 2020;12:e10930. DOI: https://doi.org/10.7759/cureus.10930
Mejri A, Arfaoui K, Aloui B, Yaakoubi J. Gossypiboma: the failure of a successful intervention. Pan Afr Med J 2020;25:335. DOI: https://doi.org/10.11604/pamj.2020.36.335.25464
Kumar P, Shukla P, Tiwary SK, et al. Gossypiboma: An avoidable but not a rare complication. Proceedings of Singapore Healthcare 2021;30:330-3. DOI: https://doi.org/10.1177/2010105821991168
Gawande AA, Studdert DM, Orav EJ, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003;16:229-35. DOI: https://doi.org/10.1056/NEJMsa021721
Sümer A, Carparlar MA, Uslukaya O, et al. Gossypiboma: retained surgical sponge after a gynecologic procedure. Case Rep Med 2010;917626. DOI: https://doi.org/10.1155/2010/917626
Peyrin-Biroulet L, Oliver A, Bigard MA. Gossypiboma successfully removed by upper-GI endoscopy. Gastrointest Endosc 2007;66:1251-2. DOI: https://doi.org/10.1016/j.gie.2007.06.002
Garg MK, Zeya MT, Garg U, et al. Gossypiboma a diagnostic dilemma or medical negligence a case report. Journal of Indian Academy of Forensic Medicine 2014;36:100-3.

How to Cite

Ukekwe, F. I., Nwokoro, O. C., Nnamani, C. E., Nwidenyi, I. O., & Ugwueke, I. (2023). Gossypiboma, a rare cause of failure in surgical intervention: a case report and review of literature. Annals of Clinical and Biomedical Research, 4(2). https://doi.org/10.4081/acbr.2023.357
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