GOSSYPIBOMA...

HISTORY
A 28 year old female presented to our hospital with a one day history of pain abdomen and vomiting.

She had got opearted about 10 days back - hysterectomy was done.

IMAGING


X-RAY

Plain X-Ray revealed - multiple air fluid levels suggesting intestinal obstruction and a vague mass in the left lumbar region with air foci within it.

CT - SCAN

CT Scan confirmed a heterogenous mass in the left lumbar region. It was seen separate from the bowel loops and was not showing enhancement and was diagnosed as Gossypiboma.

LAPAROTOMY was done for this patient and the surgical mop was retrieved. The patient came for follow up at 1 month and was having no symptoms subsequently.

DISCUSSION

Gossypiboma is the technical term for a surgical complications resulting from foreign materials, such as a surgical sponge , accidentally left inside a patient's body. The term "gossypiboma" is derived from the Latin gossypium (“cotton wool, ”) and the Swahili boma (place of concealment).

GI tract surgery and gynecologic surgery account for about 75% of reported gossypibomas

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žDifferential Diagnosis

—Post-operative collection

—Abscess

—Hematoma