INTERESTING CASE OF GOSSYPIBOMA

Dr. Saroj Thakur* and Dr. Malvika Shitak

ABSTRACT

Gossypiboma is mass lesion due to retained surgical sponge surrounded by foreign body reaction. The term “gossypiboma” is derived from the Latin word gossypium, meaning cotton. It is an infrequent surgical complication and diagnosis is often delayed due to protean appearance. Retained foreign body should be suspected in any post-operative patient presenting with pain, infection or palpable abdominal mass. Initial response of body is an exudative inflammatory response with formation of abscess and later aseptic fibrotic reaction is seen surrounding the foreign body. Surgical sponge can be seen in omentum or intestine leading to obstruction or fistula formation.

Keywords: Retained foreign body (RFB); Gossypiboma; Intestinal obstruction.