Indian Journal of Surgery

, Volume 80, Issue 1, pp 84–86 | Cite as

Transmural Migration of Gossypiboma: a Rare Cause of Acute Abdomen

  • Himanshu Agrawal
  • Nikhil GuptaEmail author
  • Umesh Krishengowda
  • Arun Kumar Gupta
  • Dipankar Naskar
  • C. K. Durga
Case Report


Gossypiboma is the retained foreign body which is generally a cotton sponge/gauze after surgery. Incidence of gossypiboma is around one in 3000 to 5000 surgeries. This low incidence is mainly attributed to a low case reporting due to an associated medicolegal aspect. We are reporting a case of a 38 years old male, who presented with signs and symptoms of peritonitis. The patient had a history of open cholecystectomy 2 years back. A working diagnosis of perforation peritonitis was made, and the patient underwent exploratory laparotomy. Intraoperatively, a surgical sponge was present inside the ileal lumen causing intestinal obstruction with dense adhesion of bowel loops proximal to the site of obstruction with multiple ileal perforations. Even though the incidence of gossypiboma is very low, it should always be kept in mind as a cause of chronic abdominal pain and abdominal discomfort in a patient with previous abdominal surgery.


Gossypiboma Acute abdomen Medicolegal Peritonitis 


Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflict of interest.


Written informed consent was obtained from the patient for publication of this case report and associated images.


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Copyright information

© Association of Surgeons of India 2017

Authors and Affiliations

  • Himanshu Agrawal
    • 1
  • Nikhil Gupta
    • 1
    Email author
  • Umesh Krishengowda
    • 1
  • Arun Kumar Gupta
    • 1
  • Dipankar Naskar
    • 1
  • C. K. Durga
    • 1
  1. 1.Department of surgeryPGIMER Dr RML HospitalNew DelhiIndia

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