Acute Bowel Obstruction Due to Transmural Migration of Gossypiboma: A Case Report

Abstract

Ghulam Yahia Baset,1 Farukh Seyar,2 Zaker Hussain Hussain Pour,3 Qurban Ali Karimi4 1Faculty member, Department of Emergency Surgery and Trauma, Kabul University of Medical Science, Ali Abad Teaching Hospital, Kabul, Afghanistan; 2Faculty Member, Department of Abdominal Surgery, Kabul University of Medical Science, Ali Abad Teaching Hospital, Kabul, Afghanistan; 3Faculty Member, Department of Maternal and Child Health, Kabul University of Medical Science, Kabul, Afghanistan; 4Department of Research, Kabul University of Medical Science, Kabul, AfghanistanCorrespondence: Ghulam Yahia Baset, Tel [phone], Email [email protected]: gossypiboma is used to describe a retained surgical swab in the body after an operation. It remains an unwanted complication of surgical practice that increase morbidity and mortality of the patient and profound medico legal problems. Intra-abdominal gossypiboma can migrate in to the ileum, stomach, colon or bladder without any apparent opening in the wall of these luminal organs. Vigilant sponge counting during procedures and thorough exploration prior to closure of the abdomen, are essential practices to avoid such occurrences. Herein we present a case of gossypiboma in a 26-year old woman that was in the lumen of small bowel and caused acute intestinal obstruction.Keywords: Gossypiboma, bowel obstruction, transmural migration, surgical swab, cesarean section

Keywords

• gossypiboma
• bowel obstruction
• transmural migration
• surgical swab
• cesarean section.