Acute Bowel Obstruction Due to Transmural Migration of Gossypiboma: A Case Report

Abstract

gossypiboma is used to describe a retained surgical swab in the body after an operation. It remains an unwanted complication of surgical practice that increase morbidity and mortality of the patient and profound medico legal problems. Intra-abdominal gossypiboma can migrate in to the ileum, stomach, colon or bladder without any apparent opening in the wall of these luminal organs. Vigilant sponge counting during procedures and thorough exploration prior to closure of the abdomen, are essential practices to avoid such occurrences. Herein we present a case of gossypiboma in a 26-year old woman that was in the lumen of small bowel and caused acute intestinal obstruction.

Keywords:

• Gossypiboma
• bowel obstruction
• transmural migration
• surgical swab
• cesarean section

Ethical Approval

This case report is exempt from ethical approval as determined by the ethical review board at our institution, given the nature of the article.

Consent for Publication

Written informed consent was obtained from the patient for the publication of this article and the accompanying image. A copy of the written consent is available for review by the editor-in-chief of this journal upon request.

Acknowledgment

The authors would like to express their sincere gratitude to the patient’s guardians for providing consent to include the case details and photographs in this publication. Their cooperation and willingness to share the information have been invaluable in contributing to the medical literature and advancing patient care.

Disclosure

The authors declare that they have no competing interests in this work.

Additional information

Funding

No specific funding was received for this case report.