Case Report

Presentation of Intraperitoneal Gossypiboma in a 21-Year-Old Woman with Ovarian Cyst: A Case Report

Abstract

Gossypiboma is a rare mass caused by surgical instruments left in the body after surgery. A 21-year-old woman with a history of two cesarean sections presented with abdominal pain; initially, she suspected appendicitis. Unexpectedly an ultrasound showed bleeding ovarian cysts and a radiopaque line that looked like surgical sponge that had been left behind. This discovery led to immediate hospitalization and subsequent laparotomy. During surgical intervention, the medical team encountered a hemorrhagic ovarian cyst with a significant mass of tissue with a diameter of 8 cm. Despite carefully exploring the surgical site, the team did not immediately find the suspected surgical sponge. Further investigation revealed nothing, but a detailed dissection of the mass-like tissue ultimately uncovered the sponge inside.

[1] Prakash GS, Satish V, Raju B, Onkaramurthy NJ, Prakash S. Gossypiboma larynx: a rare cause of post-tracheostomy stridor—case report and review of literature. J Med Case Rep. 2024;18(1):293.
[2] Caushi F, Çoku L, Skenduli I, Xhemalaj D, Mezini A, Hysa E, et al. Intrapericardial gossypiboma found 14 years after coronary artery bypass grafting. J Cardiothorac Surg. 2019;14:1-4.
[3] Bozkurt H, Öğüt B. A gossypiboma masquerading as a mesenteric cyst. Malawi Med J. 2021;33(1):68-70.
[4] Babajani A, Moradimajd P, Saei A, Abolghasemi J. Development and Psychometrics of Safe Anesthesia Evaluation. Three-Step Checklist (Pre-Induction of Anesthesia, Maintenance of Anesthesia, Post-Anesthesia): A Cross Sectional Study. Arch Anesth & Crit Care. 2024;10(1):66-74.
[5] Sirihorachai R, Saylor KM, Manojlovich M. Interventions for the Prevention of Retained Surgical Items: A Systematic Review. World J Surg. 2022; 46(2):370-81.
[6] Parra M, Oppliger F, Berríos R, Schiappacasse G. Intrathoracic gossypiboma presenting 52 years later as a chest mass. Asian Cardiovasc Thorac Ann. 2015; 23(5):596-8.
[7] Gavrić Lovrec V, Cokan A, Lukman L, Arko D, Takač I. Retained surgical needle and gauze after cesarean section and adnexectomy: a case report and literature review. J Int Med Res. 2018; 46(11):4775-80.
[8] Zejnullahu VA, Bicaj BX, Zejnullahu VA, Hamza AR. Retained Surgical Foreign Bodies after Surgery. Open Access Maced J Med Sci. 2017 Mar 15;5(1):97-100.
[9] Abo-Zahhad M, El-Malek AHA, Sayed MS, Gitau SN. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. BioData Min. 2024; 17(1):17.
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SectionCase Report(s)
Keywords
Gossypiboma cesarean section surgical sponge ovarian cysts
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1.
Babajani A, Kazemi F, Taghizadeh S, Sadat Sajadi A, Mousavibaghi SH. Presentation of Intraperitoneal Gossypiboma in a 21-Year-Old Woman with Ovarian Cyst: A Case Report. Arch Anesth & Crit Care. 2025;.