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Case Reports in Surgery
Volume 2013, Article ID 808624, 2 pages
Case Report

Gossypiboma after Breast Augmentation

Department of Plastic Surgery, Aalborg University Hospital, Soendre Skovvej 3, 9000 Aalborg, Denmark

Received 17 December 2012; Accepted 10 January 2013

Academic Editors: S. Balasubramanian, P. De Nardi, S.-i. Kosugi, and S. Landen

Copyright © 2013 Kira Lundin 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.


A 39-year-old woman was referred for removal of cosmetic breast implants and related siliconoma. After an exchange of breast implants at a private clinic a year previously, she had asymmetry of the right breast, persistent pain, and a generally unacceptable cosmetic result. An MRI had shown a well-defined area with spots of silicone-like material at the upper pole of the right breast. Surgical removal of presumed silicone-imbibed breast tissue was undertaken, and surprisingly a gossypiboma was found in its place, which had not been identified on the MRI. Gossypiboma is the condition of an accidentally retained surgical sponge. This complication is also known as a textiloma, gauzoma, or muslinoma and is well described in other surgical specialties. However, it is extremely rare after plastic surgery, and this case illustrates the need for continued attention to the surgical count of sponges and instruments.