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: 80
PDF: 57
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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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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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