Gauze is commonly used in surgery. Sometimes strands of gauze are left in situ during surgery. These gauze strands could cause problems later. We report a case of bladder stones secondary to migratory gauze strand postcesarean section. We present a 62-year-old widow who presented with lower urinary tract symptoms of 13-year duration following a cesarean section 15 years before presentation. She had a radiologic diagnosis of multiple bladder stones which on surgical removal, a gauze strand was found to be the nidus for stone formation. A migratory gauze strand from surgery done 15 years before presentation served as a nidus for bladder stone formation in a 62-year-old patient. Surgeons should be careful during pelvic surgeries/procedures not to leave behind foreign bodies like gauze strands that could migrate and cause bladder stones and its attendant sequelae.
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