Gossypiboma Masquerading as Cystic Stump Calculi: Malady of a Therapeutic Misadventure

Abstract

Background: Gossypiboma, though rare, is a serious post-operative complication that can present in a variety of ways, often mimicking other common pathologies such as cystic stump calculi.
Case: This case report highlights the diagnostic challenges posed by gossypiboma, demonstrating its potential to be misinterpreted even in advanced imaging studies. A high index of suspicion is necessary, especially in patients with a history of surgery presenting with unexplained symptoms, given the significant overlap in clinical and radiological findings with other conditions. Early recognition and intervention are crucial in preventing complications associated with gossypiboma, such as infection, abscess formation, and bowel obstruction, which can lead to significant morbidity.
Conclusion: This case underscores the importance of meticulous surgical techniques, including thorough counting of surgical sponges and instruments, to prevent the occurrence of gossypiboma. Ultimately, enhancing awareness among surgeons and radiologists about the potential for gossypiboma to masquerade as other conditions will aid in timely diagnosis and appropriate management, thereby improving patient outcomes and minimizing the risk of legal implications associated with retained surgical items.