Gossypiboma
Fouad Hajji, Ahmed Ameur
The Pan African Medical Journal. 2015;20:332. doi:10.11604/pamj.2015.20.332.6609

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Gossypiboma

Cite this: The Pan African Medical Journal. 2015;20:332. doi:10.11604/pamj.2015.20.332.6609

Received: 18/03/2015 - Accepted: 24/03/2015 - Published: 07/04/2015

Key words: Gossypiboma, retained surgical sponge, cotton-based foreign body

© Fouad Hajji et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/20/332/full

Corresponding author: Fouad Hajji, Department of Urology, Mohammed V Military University Hospital, Ryad Street, 10100, Rabat, Morocco (fouad-shot@hotmail.com)


Gossypiboma

 

Fouad Hajji1,&, Ahmed Ameur1

 

1Department of Urology, Mohammed V Military University Hospital, Rabat, Morocco

 

 

&Corresponding author
Fouad Hajji, Department of Urology, Mohammed V Military University Hospital, Ryad Street, 10100, Rabat, Morocco

 

 

Image in medicine

A 47-year-old woman with a history of nephrolithiasis complicated by chronic renal failure presented with recurrent left flank pain. Nine months ago, she had been subject to an open surgery for left kidney pyonephrosis. She described a short febrile post-operative period; however, there had been no fever for the last eight months. On physical examination, she was afebrile and had a palpable tender mass in the left flank to suggest malignancy. Unenhanced abdominal CT showed a well-encapsulated ovoid heterogeneous mass, located within the left lumbar region (A). The mass resection was done (B). The patient tolerated the procedure and the postoperative period was uncomplicated. Since pathological examination showed retained surgical sponges surrounded by fibrous capsule as foreign body reaction (C), gossypiboma was diagnosed. A gossypiboma refers to a cotton-based foreign body left inadvertently in the human body following a surgical procedure. Gossypiboma is an uncommon condition, diagnosed preoperatively in only one third of all cases. New-onset or a recurrent tumor is the most common differential diagnosis. Gossypiboma should be considered in any postoperative patient presenting with pain, infection, or a palpable mass, particularly in countries where strict surgical protocols may not be in place.

Figure 1: gossypiboma or retained surgical sponges: A) unenhanced abdominal computed tomography showing a well-encapsulated ovoid heterogeneous mass, located within the left lumbar region; B) resected mass; C) pathological examination showing retained surgical sponges surrounded by fibrous capsule

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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