Gossypiboma: A Sheep in a Wolf’s Clothing

被引：0

作者：

Angela Mary George ^{[1
]}

Vinotha Thomas ^{[1
]}

C. Anuradha ^{[2
]}

Antony Devasia ^{[3
]}

Dhanya Susan Thomas ^{[1
]}

Anitha Thomas ^{[1
]}

机构：

[1] Department of Gynaecologic Oncology, Christian Medical College, Vellore

[2] Department of Radiodiagnosis, Christian Medical College, Tamil Nadu, Vellore

[3] Department of Urology, Christian Medical College, Tamil Nadu, Vellore

来源：

Indian Journal of Gynecologic Oncology | 2025年 / 23卷 / 2期

关键词：

Gossypiboma; Pelvic mass; Retained surgical gauze; Textiloma;

D O I：

10.1007/s40944-025-00996-0

中图分类号：

学科分类号：

摘要：

Introduction: Gossypiboma, a condition characterized by the inadvertent retention of surgical materials within a patient’s body after surgery, presents a challenging diagnostic scenario. This case report describes a 40-year-old woman who carried a retained surgical gauze unknowingly for seven years, highlighting the elusive nature of gossypiboma. Case Report: Following an emergency caesarean hysterectomy for postpartum haemorrhage in 2015, the patient developed postcoital bleeding, dyspareunia, and urinary symptoms. An initial MRI suggested the presence of chronic hematoma, which was managed conservatively. Seven years later, the symptoms recurred, prompting clinical examinations that raised suspicion of cervical carcinoma. Negative cervical biopsies, a repeat MRI and a CT scan indicated the possibility of gossypiboma, which was confirmed on cystoscopy. A laparotomy revealed a gauze in the pelvis, fistulizing into the bladder, that was successfully removed. Discussion: The reported incidence of gossypiboma varies considerably, with likely under-reporting due to legal concerns, making it a challenge to ascertain its true frequency. Diverse clinical presentations, masquerading as other medical conditions, lead to diagnostic complexity. Conclusion: The cornerstone in addressing gossypiboma is prevention, emphasizing meticulous counting of surgical materials before and after surgery, using sponges or materials with radio-opaque markers, and thorough exploration of the surgical site before closure. © The Author(s) under exclusive licence to Association of Gynecologic Oncologists of India 2025.

引用

共 16 条

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