Presentation of Intraperitoneal Gossypiboma in a 21-Year-Old Woman with Ovarian Cyst: A Case Report

Alireza  Babajani; Fahime  Kazemi; Shaqhayeq  Taghizadeh; Atiyeh Sadat  Sajadi; Seyedeh Haniyeh  Mousavibaghi

doi:10.18502/aacc.v11i5.19940

Alireza Babajani Department of Anesthesiology, School of Allied Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
Fahime Kazemi Imam Khomeini Hospital, Zahedan University of Medical Sciences, Khash, Iran.
Shaqhayeq Taghizadeh Department of Anesthesia, Faculty of Paramedical Sciences, Guilan University of Medical Sciences, Rasht, Iran.
Atiyeh Sadat Sajadi Department of Anesthesia Technology, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Seyedeh Haniyeh Mousavibaghi Department of Operating Room, Faculty of Paramedical Sciences, Guilan University of Medical Sciences, Rasht, Iran.

DOI: https://doi.org/10.18502/aacc.v11i5.19940

Keywords: Gossypiboma; Cesarean section; Surgical sponge; Ovarian cysts

Abstract

Gossypiboma is a rare mass caused by surgical instruments left in the body after surgery. A 21-year-old woman with a history of two cesarean sections presented with abdominal pain; initially, she suspected appendicitis. Unexpectedly an ultrasound showed bleeding ovarian cysts and a radiopaque line that looked like surgical sponge that had been left behind. This discovery led to immediate hospitalization and subsequent laparotomy. During surgical intervention, the medical team encountered a hemorrhagic ovarian cyst with a significant mass of tissue with a diameter of 8 cm. Despite carefully exploring the surgical site, the team did not immediately find the suspected surgical sponge. Further investigation revealed nothing, but a detailed dissection of the mass-like tissue ultimately uncovered the sponge inside.