Gossypioma is a medical term that refers to the retention of a sponge or other surgical device after an intra-abdominal surgery. It is one of the most common medico-legal issues. Clinical symptoms of intra-abdominal Gossypioma range from mild abdominal pain to serious complications such as bowel or visceral perforation and obstruction. The illness can manifest itself in a number of ways, ranging from asymptomatic to severe gastrointestinal consequences such as vomiting, abdominal pain, obstruction, perforation, peritonitis, and even death. Transmural migration of a gossypioma is a very rare occurrence that can result in bowel or visceral perforation. Formation of a fistula or obstruction Transmural migration of an intra-abdominal Gossypioma has been reported in the stomach, ileum, colon, bladder, vagina, and diaphragm. There have only been a few cases reported in the medical literature. We do, however, report the first case of the world's largest Gossypioma, a surgical mop measuring 26 x 23 cm that was removed endoscopically. Six months ago, a 60-year-old man underwent an open cholecystectomy for symptomatic gall stones. He became symptomatic two weeks after the operation, complaining of abdominal pain and recurrent vomiting. Transmural Gossypioma migration into the stomach should be considered in the differential diagnosis. Endoscopy can be used to diagnose as well as treat patients. Surgery may be recommended in cases of endoscopic failure or incomplete migration of Gossypioma into the stomach.
Author (S) Details
Dr. Parveen Malhotra
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
Vani Malhotra
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
Naveen Malhotra
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
Yogesh Sanwariya
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
Isha Pahuja
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
Akshay
Department of Medical Gastroenterology, Anesthesiology, Gynecology and Obstetrics, PGIMS Rohtak, India.
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