Thursday, March 15, 2012

Unconsidered cause of bowel obstruction - gossypiboma

Forgotten foreign bodies, such as cotton sponges, gauze or instruments, after any surgical procedure are considered a misadventure.1 "Gossypiboma" denotes a mass of cotton that is accidentally retained in the body postoperatively. We describe a case in which a woman presented with features of intestinal obstruction about 10 months after open cholecystectomy.

Case report

A 30-year-old woman presented with a history of colicky pain in her upper abdomen along with constipation, vomiting and an episode of fresh bleeding per rectum about 1 month previously. She had undergone open cholecystectomy in a district hospital about 10 months earlier. On examination, a well-defined, …

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