Ali Mansoor, Rabia Shaukat, Haroon Saeed, Aamer Nadeem Chaudhary


Gossypiboma is a rare surgical complication associated with significant patient morbidity and even mortality. Migratory gossypiboma is a rarer subset of these cases, representing the erosion of surgical sponge into the intestine with consequent complications. A 40 years old female presented with a surgical sponge that had eroded into the caecum and subsequently moved with peristalsis up to the anal canal from which it was protruding out at the time of presentation. Proper checking before surgical closure can prevent this serious potentially life-threatening complication.

Keywords: Gossypiboma; Retained surgical sponge; Intraluminal migration

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Reddy AK, Lakshmanan PM, Govindarajalou R, Jayamohan A. Imaging Features of Pelvic Gossypiboma. Internet J Radiol 2013;16(1):1–6.

Hariharan D, Lobo DN. Retained surgical sponges, needles and instruments. Ann R Coll Surg Engl 2013;95(2):87–92.

Malhotra MK. Migratory surgical gossypiboma-cause of iatrogenic perforation: Case report with review of literature. Niger J Surg 2012;18(1):27–9.

Pukar MM, Chaudhary J. Undiagnosed Chronic Abdominal Pain and Colonic Perforation: A Rare Cause: Gossypiboma. IJSS 2015;1(3):17–21.

Manzella A, Filho PB, Albuquerque E, Farias F, Kaercher J. Imaging of gossypibomas: pictorial review. Am J Roentgenol 2009;193(6_Suppl):S94–101.

Patil KK, Patil SK, Gorad KP, Panchal AH, Arora SS, Gautam RP. Intraluminal migration of surgical sponge: gossypiboma. Saudi J Gastroenterol 2010;16(3):221–2.

Akbulut S, Arikanoglu Z, Yagmur Y, Basbug M. Gossypibomas Mimicking a Splenic Hydatid Cyst and Ileal tumor: a case report and literature review. J Gastrointest Surg 2011;15(11):2101–7.

Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural migration of retained surgical sponges: a systematic review. Obstet Gynecol Surv 2008;63(7):465–71.

Colak T, Olmez T, Turkmenoglu O, Dag A. Small bowel perforation due to gossypiboma caused acute abdomen. Case Rep Surg 2013;2013:219354.

Neto C, Agnollitto PM, Mauad FM, Barreto AR, Muglia VF, Elias Junior J. Imaging findings of abdominal gossypibomas. Radiol Bras 2012;45(1):53–8.

Khan HS, Malik AA, Ali S, Naeem A. Gossypiboma as a cause of intestinal obstruction. J Coll Physicians Surg Pak 2014;24(Suupl 3):S188–9.


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