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Case Reports in Surgery
Volume 2013, Article ID 219354, 3 pages
http://dx.doi.org/10.1155/2013/219354
Case Report

Small Bowel Perforation due to Gossypiboma Caused Acute Abdomen

Department of General Surgery, Medical Faculty, Mersin University, 33079 Mersin, Turkey

Received 1 August 2013; Accepted 24 September 2013

Academic Editors: A. Cho, D. Mantas, M. Rangarajan, and C. Tunon-de-Lara

Copyright © 2013 Tahsin Colak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 14 months after the hysterectomy due to acute abdominal pain. Gossypiboma was diagnosed by computed tomography (CT). The CT findings were a rounded mass with a dense central part and an enhancing wall. In explorative laparotomy, small bowel loops were seen to be perforated due to inflammation of long standing gossypiboma. Jejunal resection with end-to-end anastomosis was performed. The patient was discharged whithout complication. This case was presented to point to retained foreign body (RFB) complications and we believed that the possibility of a retained foreign body should be considered in the differential diagnosis of who had previous surgery and complained of pain, infection, or palpable mass.