Laparoscopic Removal of Gossypiboma Following Cesarean Section

ABSTRACT

Gossypiboma refers to a tumorus mass that is caused by a foreign body reaction due to an accidentally retained gauze or sponge within the body following surgery. Here, we report the case of gossypiboma in a 29-year-old woman with lower abdominal discomfort over a period of 2 years. In her medical history, she had a Cesarean section 11 years ago. Transvaginal ultrasonography showed an 8.5x6.4 cm mixed echoic round mass and both adnexa were normal. Abdominal-pelvic computed tomography confirmed a high attenuation lesion with a suspected foreign body in the pelvic cavity. Thus, based on a diagnosis of gossypiboma, she received a laparoscopic operation. Upon laparoscopic view, the mass was discovered to be well encapsulated and solid, and located between the urinary bladder and uterus. The mass was completely removed without damage to other adjacent organs. The patient was discharged on the 5th postoperative day without complications.