ArticleJournal of surgical case reports2026
A 38-year retained gossypiboma fortuitously diagnosed after suspected ovarian tumor surgery: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Gossypiboma is a diagnostic challenge, particularly in long-standing cases where characteristic imaging features may be lost. We report the case of a 78-year-old woman with a sponge retained from an abdominal hysterectomy performed 38 years earlier. The pelvic mass was incidentally detected on computed tomography (CT) and misdiagnosed as a solid ovarian tumor on magnetic resonance imaging, prompting a laparotomy. Intraoperatively, the mass was revealed to be a retained sponge; however, complete resection was impossible due to severe adhesions and massive bleeding. During follow-up without reoperation, the patient developed abdominal pain 16 months later, and CT showed a small bowel fistula and an intra-abdominal abscess. Due to the high surgical risk and the fact that resection of the mass would be extremely difficult, a diverting loop ileostomy was created to control the inflammation. This case highlights the difficulty of preoperative diagnosis and discusses optimal management strategies for long-standing, asymptomatic gossypiboma.
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