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Case Reports in Surgery
Volume 2016, Article ID 3258782, 4 pages
http://dx.doi.org/10.1155/2016/3258782
Case Report

Intestinal Obstruction and Ileocolic Fistula due to Intraluminal Migration of a Gossypiboma

1Department of Surgery, University Hospital of Larissa, Mezourlo, Larissa, 41110 Thessaly, Greece
2General Surgery, Faculty of Medicine, University of Thessaly, 41500 Larissa, Greece

Received 29 November 2015; Revised 28 January 2016; Accepted 1 February 2016

Academic Editor: Cheng-Yu Long

Copyright © 2016 Evangelos Margonis 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 refers, as a term, to a retained surgical sponge. It is considered as a rare surgical complication which can occur despite precautions. We report a case of a 36-year-old woman who was admitted to our surgical department with symptoms of abdominal pain associated with episodes of nausea and vomiting that lasted for 2 months. Six months ago she had undergone a cesarean section in a private clinic. Computed tomography revealed a high-density mass occupying a portion of the intestinal lumen, which was reported as a “calcified parasite.” The patient was subjected to laparotomy. The intraoperative findings included signs of obstructive ileus and ileosigmoid fistula and a large sponge was found at the resected portion of the small intestine. Although gossypiboma is a rare entity, it should be included in the differential diagnosis.