Pelvic mass caused by gossypiboma.

Kang, Dong Baek; Kim, Seung Ho; Oh, Jung Taek; Kim, Hun Young

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(4):476-479.
Published online April 1, 2009.

Pelvic mass caused by gossypiboma.

Dong Baek Kang, Seung Ho Kim, Jung Taek Oh, Hun Young Kim

¹Department of Obstetrics and Gynecology, Wonkwang-Gunsan Medical center, Iksan, Korea. vaginakim@hanmail.net
²Department of Surgery, Wonkwang-Gunsan Medical center, Iksan, Korea.

Abstract

Gossypiboma is referred to as surgical gauze or sponge left in the body of a patient inadvertently following surgery. There are two types of foreign body reaction in the body. The first type is exudative, with the resultant formation of an abscess with or without bacterial invasion and usually causes related clinical symptoms shortly after surgery. The second type is aseptic with extensive adhesions and encapsulating in a foreign body granuloma. Gossypiboma typically have an inconsistent radiologic appearance determined by the time, the type of material and the anatomical location. Furthermore, radio-opque markers are sometimes disintegrated or fragmented over times and ultrasound or CT may be indistinguishable from intra-abdominal abscess or tumor. We report 71-year-old woman in whom gossypiboma is severely adherent with ileal loop caused by pelvic mass.

Key Words: Gossypiboma, Pelvic mass, Small bowel