| CASE REPORT |
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| Year : 2014 | Volume
: 28
| Issue : 1 | Page : 40-42 |
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Gossypiboma: Contrast-enhanced computed tomography for detection and foolproof management
Shivi Jain1, Shuchi Jain2, Vaibhav Jain3, Madhu Jain2
1 Department of Radio diagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
2 Department of Obstetrics and Gynecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
3 Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
Correspondence Address:
Prof. Madhu Jain
G-11, Lal Bahadur Shastri Nagar Colony, Karaundi, Varanasi - 221 005, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-4958.135228
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The word 'gossypiboma' or 'textiloma' is used to describe a retained surgical sponge in the body after an operation. If it is left in the abdomen, it may cause serious morbidity and mortality of the patient as well as medico-legal problems. It varies between 1 out of 1,000-1,500 intra-abdominal operations and 1 out of 300-1,000 of all operations. Herein, we report two cases, the first presenting 1.5 years after cesarean section with fever and purulent vaginal discharge and the second, two years after with abdominal swelling and pain. The contrast-enhanced computed tomography (CECT) proved to be diagnostic and guided towards proper management. Imaging detected trans-visceral migration of the sponge in the first case and improved the prognosis. High degree of suspicion raised by imaging and correlation with clinical picture are the cornerstone for a good outcome. |
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