Author/Authors :
Noei Teymoordash, Somayyeh Department of Gynecology Oncology - Fellowship of Gyneco-oncology - Imam Hossein Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Arab, Maliheh Department of Gynecology Oncology - Imam Hossein Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Talayeh, Maryam Department of Gynecology Oncology - Fellowship of Gyneco-oncology - Imam Hossein Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Raoufi, Masoomeh Department of Radiology - Imam Hossein Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Ghavami, Behnaz Obstetrician & Gynecologist - Fellowship of Laparoscopy, Tehran, Iran , Nouri, Behnaz Department of Obstetrics and Gynecology - Shohada-ye Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Background: A variety of presentations may be manifested by retained sponge, including intestinal obstruction, intestinal fistula, malabsorption syndrome and chronic pain from adhesions; in some cases, it may have an asymptomatic clinical course.
Case report: In a 41-year-old female, gravida 4 para 4, with a history of laparotomy performed for an ovarian adenocarcinoma three years prior to her referral, a gossypiboma was incidentally detected on follow up imaging. The gossypiboma was safely excised by a midline laparotomy.
Conclusion: Asymptomatic gossypiboma should be considered in patients presenting with a mass, who have undergone laparotomy in the past.