Gossypiboma: To Err is Human – A Case Report
Gossypiboma (retained surgical sponge) is one of the identities that can be a disaster not only to the carrier of operating surgeon but also for the hospital as far as the financial burden and the reputation is concerned. The patient may have severe morbidity and in worst of the event can have mortality. The aim of this article is to highlight the fact that the incidence is not as rare as has been reported in different literatures and to discuss its various –clinico-radiological features, predisposing factors, measures to avoid it and how to manage when such a calamity has occurred. This article increases the awareness about the problem thus avoiding unnecessary morbidity/mortality to the patient as well as save the surgeon from malpractice law suits, great psychological trauma and negative publicity.
2. Hyslop, JW, Maull, KI. Natural history of the retained surgical sponge. Southern Medical Journal1982, 75, 657-660
3. Mefire, AC, Tchounzou, R,Guifo ML,Fokou M,Pagbe JJ, EssombaA et al. Retained sponge after abdominal surgery: Experience from a third world country. The Pan African Medical Journal2009,2, 10.
4. Arpit N, Abhijit R, Ranjeet N, Goving C, Hira P, Bhattgade VI. Gauze pad in the abdomen: can you give the diagnosis without knowing the history? J Radiol 2002; 10: 132-36.
5. Lebeau R, Diane B, Koffi E, Amani A, KouassiJC. Foreign bodies after abdominal surgery. About 12 cases. Mali Médical 2004; TXIX(3-4):8-12.
6. Chorvat G, Khan J, Camelot G, Henriet P, Gillet JY, Gillet M. The fate of swabs forgotten in the abdomen. Ann Chir 1976;30:643-649.
7. Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained surgical sponges (gossypiboma). Asian J Surg 2005;28:109-15.
8. Kaiser CW, Frideman S, Spurling KP, Slowick T, Kaiser HA. The retained surgical sponge. Ann Surg 1996; 224:79-84.
9. Kim TH, Lee HH. Omental teratoma misdiagnosed as gossypiboma. J Minim Invasive Gynecol. 2015; 22:709.
10. Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res. 2007; 138:170-174.
11. Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural migration of retained surgical sponges: a systematic review. ObstetGynecolSurv 2008; 63:465–471.
12. Patil KK, Patil SK, Gorad KP, Panchal AH, Arora SS, Gautam RP. Intraluminal migration of surgical sponge: Gossypiboma. Saudi J Gastroenterol 2010; 16:221-2.
13. Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CW: Retained surgical sponge: diagnosis with CT and sonography. AJR Am J Roentgenol 1988; 150:1047–1050.
14. Akbulut S, Arikanoglu Z, Yagmur Y, Basbug M. Gossypibomas mimicking a splenic hydatid cyst and ilealtumor: A case report and literature review. J GastrointestSurg 2011; 15:2101-7.
15. Silva CS, Caetano MR, Silva EA, Falco L, Murta EF. Complete migration of retained surgical sponge into ileum without sign of open intestinal wall. Arch GynaecolOstet 2001; 265:103-4
16. Sugano S, Suzuki T, Iinuma M. Gossypiboma: diagnosis with ultrasonography. J Clin Ultrasound 1993;21: 289-92
17. Kokubo T, Itai Y, Ohtomo K, Yoshikawa K, Ilio M, Atomi Y. Retained surgical sponge : diagnosis with CT and sonography. Radiology 1987; 165:415-8.
18. Zahiri HR, Stromberg J, Skupsky H, Knepp EK, Folstein M, Silverman Ret al. Prevention of 3 “never events” in the operating room: Fires, gossypiboma, and wrong-site surgery. SurgInnov 2011;18:55-60.
19. [No authors indicated]. Recommended practices for sponge, sharps, and instrument counts. AORN J 2006; 83:418–433
20. Leap Frog Group Web site. www.leapfroggroup.org. Accessed June 23, 2009.
Copyright (c) 2015 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.