Techniques in Coloproctology

, Volume 15, Supplement 1, pp 67–69

Gossypiboma presenting as mesosigmoid abscess: an experimental study

  • D. Paramythiotis
  • A. Michalopoulos
  • V. N. Papadopoulos
  • D. Panagiotou
  • L. Papaefthymiou
  • E. Digkas
  • S. Salonikidis
  • G. Basdanis
Article

DOI: 10.1007/s10151-011-0735-z

Cite this article as:
Paramythiotis, D., Michalopoulos, A., Papadopoulos, V.N. et al. Tech Coloproctol (2011) 15(Suppl 1): 67. doi:10.1007/s10151-011-0735-z

Abstract

Introduction

The term “gossypiboma” is used to describe any mass of non-absorbable surgical material. It is estimated that this complication appears every 1.000–10.000 procedures. It may lead to peritonitis, acute abdominal pain, intraperitoneal abscess, bowel obstruction, or perforation.

Report of a case

We present the case of an 80-year-old female patient admitted for chronic abdominal pain and fever. A CT scan and MRI were performed with a probable diagnosis of carcinoma or pelvic abscess. A surgical history of hysterectomy and repair of abdominal wall hernia with a mesh were mentioned.

Results

Exploratory laparotomy revealed the presence of an irregular, soft mass with characteristics of an abscess located into the mesosigmoid. Hartman’s sigmoidectomy was performed, and the patient’s postoperative course was uneventful. The histopathological examination confirmed the diagnosis of gossypiboma.

Conclusions

Retained foreign intraperitoneal materials often represent diagnostic dilemmas, since symptomatology is no specific and the time elapsed from surgery is long. The policy of prevention’s importance is highly appreciated.

Keywords

Gossypiboma Foreign bodies Exploratory laparotomy 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • D. Paramythiotis
    • 1
  • A. Michalopoulos
    • 1
  • V. N. Papadopoulos
    • 1
  • D. Panagiotou
    • 1
  • L. Papaefthymiou
    • 1
  • E. Digkas
    • 1
  • S. Salonikidis
    • 1
  • G. Basdanis
    • 1
  1. 1.1st Propedeutic Surgical DepartmentAristotle’s University of Thessaloniki, A.H.E.P.A. University HospitalThessalonikiGreece