Case Report

Gossypiboma due to a retained surgical sponge following abdominal hysterectomy, complicated by intestinal migration and small bowel obstruction- A Case Report

Vivek Agrawal and Praroop Gupta*

Published: 14 August, 2018 | Volume 2 - Issue 2 | Pages: 015-017

A gossypiboma is a mass of cotton material from any source, left in a body cavity after a surgical procedure. This enhances the morbidity, cost of treatment and potential mortality to the patient with the addition of medicolegal issues. We report a case of a 32 year old lady who presented with complaints of central abdominal pain and vomiting for 1 month, fever for 20 days and non-passage of flatus and faeces for 5 days. She had undergone a total abdominal hysterectomy 4 months prior. On clinical examination, adhesive small intestinal obstruction was suspected. On CECT evaluation, a gossypiboma was suggested to have possibly migrated into the small bowel. Laparotomy revealed the presence of clumped bowel loops, which on dissection got torn and showed a gauze like material within the bowel lumen. A diagnosis of gossypiboma with intestinal migration of a retained surgical sponge was ascertained. The possibility of a gossypiboma, particularly in previously operated cases, must be kept in mind and measures must be taken to prevent such incidences.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001017 Cite this Article Read Full Article PDF


Gossypiboma; Retained Surgical Sponge; Transmural migration



  1. Gibbs VC, Coakley FD, Reines HD. Preventable errors in the operating room: retained foreign bodies after surgery. Curr Probl Surg. 2007; 44: 281-337. Ref.: https://tinyurl.com/yblk5wxz
  2. SP Stawicki, DC Evans, J Cipolla, MJ Seamon, JJ Lukaszczyk, et al. Retained surgical foreign bodies: a comprehensive review of risks and preventive strategies. Scand J Surg. 2009; 98: 8-17. Ref.: https://tinyurl.com/y83z5hj5
  3. Malhotra MK. Migratory Surgical Gossypiboma - Cause of iatrogenic perforation: Case report with review of literature. Niger J Surg. 2012; 18: 27-29. Ref.: https://tinyurl.com/yd5q8mna
  4. Zhou Y, Chen P, Qiao T, Chen YF, Zong L. Complete transmural migration of a retained surgical sponge: an atypical case in image mimicking intussusception: A case report. Medicine (Baltimore). 2017; 96: e8246. Ref.: https://tinyurl.com/y732jn3z
  5. Md Moniruzzaman Sarker, AKM Golam Kibari, Md Manzurul Haque, Kali Prosad Sarker, Md Khalilur Rahman. Spontaneous transmural migration of a retained surgical mop into the small intestinal lumen causing sub-acute intestinal obstruction: a case report. TAJ. 2006; 19: 34-37. Ref.: https://tinyurl.com/y9mvdozm
  6. Yun-Xiao Lv, Cheng-Chan Yu, Chun-Fang Tung, Cheng-Chung Wu. Intractable duodenal ulcer caused by transmural migration of gossypiboma into the duodenum-a case report and literature review. BMC Surgery. 2014; 14: 36. Ref.: https://tinyurl.com/yaoo3xex


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