A Case Series on Gossypiboma - Varied Clinical Presentations and Their Management

• Main Authors: Seema Chopra, Vanita Suri, Pooja Sikka, Neelam Aggarwal
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2015-12-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: retained sponge; surgical sponge; foreign body
• Online Access: https://jcdr.net/articles/PDF/6978/15927_CE[Ra1]_F(AK)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf

Retained surgical sponges in the peritoneal cavities are an infrequent operative/surgical complication and an error which is avoidable. The unfortunate situation of forgotten or missed foreign bodies after any surgical procedure may lead to medico legal problems. Though gossypiboma can be found at any operative site but intraperitoneal cavity is the most frequent site reported in literature. Over a period of three years, June 2009-2012, we conducted retrospective analysis of case summaries of eight patients who underwent re-laparotomy for retained surgical sponge at our institute. Pre operative diagnosis was made in 7out of 8 patients, 5 of whom underwent re-laparotomy and one had sponge removed through the caesarean incision, while in another it was removed per-vaginum through the open vault (post hysterectomy). In one patient, gossypiboma was an incidental finding on laparotomy done for adnexal mass. There was no mortality in any of the cases.