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A rare sequel of gossypiboma

N. L. Vyas, Preety Deshpande, Dev Taneja
Published: 28 September 2022

Abstract: Surgical materials (gauze) are sometimes inadvertently left within the body after surgical operations. Cotton materials are the most commonly forgotten. The implications for the patient as well as the doctors are grave. This presentation aims to rekindle awareness of the phenomenon of gossypiboma and highlight the implications and stress prevention. This case highlights the necessity for considering gossypiboma in patients presenting with abdominal symptoms after recent abdominal surgery. Herein we tend to report the case of a 60-year-old man with C/O abdominal pain and not tolerating feeds. Past surgical history of open cholecystectomy 2 years back. CECT Abdomen and pelvis -inconclusive. However, diagnostic upper endoscopy unconcealed a 10×10 cm retained surgical gauze in the pylorus multiple attempts to remove endoscopically failed. The patient underwent emergency exploratory-laparotomy for the same. 30×30cm surgical abdominal pad dissected out of the stomach. Though rare, retained foreign body ought to be thought about in the differential diagnosis of surgical abdominal pain in post-operative cases. The condition carries harm potential to the patient and medico-legal litigations.
Keywords: surgical / stress / retained / differential / tolerating / gossypiboma / gauze / abdominal / rare / highlight

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