A 34‐year‐old asymptomatic gossypiboma: A fortuitous diagnosis revealed by appendicular peritonitis: A case report

Debaibi, Mehdi; Sghair, Asma; Gabsi, Sofien; Nejib, Fatma; Sridi, Azza; Chouchen, Adnen

doi:10.1002/ccr3.5444

Cited by 3 publications

(6 citation statements)

References 25 publications

(58 reference statements)

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“…The delayed response involves formation of adhesions, granulomas or pseudo tumors. The patient may present with nonhealing wounds or discharging sinuses, or develop secondary complications like intestinal obstruction and fistula formation [11]. Their radiological features may simulate a hydatid cyst or tumors such as retroperitoneal tumors, desmoid tumors, ovarian teratoma, mesenchymal tumors and pancreatic tumors [12].…”

Section: Discussionmentioning

confidence: 99%

The Case Report of an Intra-Abdominal Organized Gossipiboma: An Incidental Subsidiary Finding

Khattri¹,

Shayan²,

Altaf³

et al. 2023

J Med Res Surg

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Despite the advances in the medical sciences and increased safety measures taken during surgeries, there are still few unfortunate times when post-procedure complications can occur due to human errors presenting with intraoperative or post operative symptoms. Gossipiboma is a rare complication that can occur due to human negligence. Gossipiboma’s form as a complication of inflammatory reaction to a surgical sponge or a laparotomy pad left mistakenly in the body of the patient after a surgical procedure. The term Gossipiboma is a combination of two words from two different languages; Gossypium a Latin word which mean cotton and boma a Kiswahili word which means plan of concealment. Their incidence is reported to be 1 in 1000 to 1500 surgery. We present here a case of a 67-year-old male who had a history of right-sided Percutaneous Nephrolithotomy (PCNL) five years back. No immediate post procedure complications occurred however the patient presented to the Outpatient Department (OPD) with left flank pain and his Computed Tomography (CT) scan was done which showed an organized Gossipiboma.

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Section: Discussionmentioning

confidence: 99%

The Case Report of an Intra-Abdominal Organized Gossipiboma: An Incidental Subsidiary Finding

Khattri¹,

Shayan²,

Altaf³

et al. 2023

J Med Res Surg

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“…Gossypibomas have a variable onset and presentation. Gossypibomas have been reported most commonly after abdominal and gynecological surgeries [1]. The timeline of symptom presentation can vary from weeks to months after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…If there is an exudative reaction, the patient may present with an acute abscess formation. Alternatively, a granulomatous reaction may cause asymptomatic abdominal adhesions and aseptic fibrous tissue formation [1,4]. This eventually will result in the encapsulation and development of a foreign body granuloma that can be identified on imaging [4].…”

Section: Discussionmentioning

confidence: 99%

“…The term "gossypiboma" refers to a retained surgical sponge or textile in the human body. Historically, gossypiboma is a combination of the Latin word "gossypium" meaning cotton and the Swahili word "boma" meaning "place of concealment" [1]. Although this is a well-established radiological term, there is a limited discussion of gossypiboma in the surgical literature.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Gossypiboma: A Case Report

George Teressa,

Saxena,

Afzal

et al. 2023

Cureus

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Gossypiboma is a rarely reported surgical complication and refers to a retained surgical textile in the body after a procedure. The surrounding inflammation and reaction often manifest as acute pain and subsequently require additional surgery. We report the case of a 33-year-old female who presented with acute abdominal pain one month after undergoing an exploratory laparotomy secondary to a gunshot wound in her home country. A diagnosis of retained foreign body was made with radiological imaging and confirmed upon the retrieval of two surgical sponges after the operation. Due to the high morbidity and mortality as well as increased healthcare costs, strict protocols must be followed to avoid such outcomes.

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“…Such a medical situation is termed gossypiboma or textiloma. [ 47 , 48 ] The first case was described by Wilson in 1884, [ 49 ] and thereafter, an incidence rate of 1 in 300 to 1 in 3000 has been observed in past reports across all surgical procedures. Gossypiboma has been demonstrated to be associated with the development of severe clinical conditions involving various sarcomas or granuloma (pseudotumor).…”

Section: Foreign Body Tumorigenesis: Metallic and Other Biomedical Ob...mentioning

confidence: 99%

Etiology, pathogenesis, and management of angiosarcoma associated with implants and foreign body: Clinical cases and research updates

Samargandi

2024

Medicine

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Angiosarcomas are rare and highly malignant soft tissue sarcomas originating from endothelial cells lining the lymphatic or vascular system. While they predominantly emerge from (sub)cutaneous regions, occurrences have been reported throughout the body. The etiology of angiosarcoma remains elusive in most clinical cases. Nevertheless, several prognosis risk factors play a pivotal role, including chronic lymphedema, therapeutic irradiation, environmental carcinogens, familial syndromes, and the presence of foreign materials like metallic objects and biomedical implants. Despite evidence implicating retained foreign material in angiosarcoma development, understanding its prognosis and pathogenesis remains limited. The pathogenesis of angiosarcoma appears to involve a complex interplay of chronic inflammation, tissue remodeling, and genetic factors that create a conducive microenvironment for malignant transformation. Management of these sarcomas remains challenging due to their infiltrative nature owing to the high chance of metastasis and local recurrence. The primary treatment modalities currently include surgery, radiotherapy, and chemotherapy, but recent advances in targeted immunotherapy and gene therapy hold promise for more effective approaches. This comprehensive review delves into the potential etiological and pathogenic roles of foreign materials, such as metallic objects, biomedical implants, and biomaterials, in the development of angiosarcoma. Further research into the underlying molecular mechanisms could provide valuable insights for tailored management and developing novel targeted therapeutic strategies.

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A 34‐year‐old asymptomatic gossypiboma: A fortuitous diagnosis revealed by appendicular peritonitis: A case report

Cited by 3 publications

References 25 publications

The Case Report of an Intra-Abdominal Organized Gossipiboma: An Incidental Subsidiary Finding

The Case Report of an Intra-Abdominal Organized Gossipiboma: An Incidental Subsidiary Finding

Surgical Management of Gossypiboma: A Case Report

Etiology, pathogenesis, and management of angiosarcoma associated with implants and foreign body: Clinical cases and research updates

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