Year: 2024
Type: article
Abstract: Gossypiboma refers to a retained surgical textile in body tissue and cavity after an operation. It is an infrequent and potentially preventable post-operative complication due to medical error. The presence of retained surgical material within the body tissue can incite an aseptic but fibroblastic reaction resulting in the formation of a chronic granuloma, which may present in the form of a pseudo-tumour several months to years after the surgical procedure. We report the case of a 42-year-old woman who presented with a painless intra-abdominal mass one year after undergoing myomectomy for symptomatic uterine fibroid in a private hospital. A presumptive diagnosis of the mesenteric tumour was made on the basis of pre- and intra-operative findings. However, the histopathological diagnosis confirmed a gossypiboma. This case highlights the need to consider gossypiboma as a differential diagnosis in post-operative patients presenting with intra-abdominal mass. The highly variable characteristics of this condition both clinically and radiologically warrant a high index of suspicion, early recognition, and prompt surgical intervention to reduce the morbidity and mortality associated with it.
DOI: 10.82127/12f36689
Authors: Agada, Horace, Adokwe, Lazarus Babangida
Language: English
Subfield: Hematology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7084049013
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