Postmyomectomy gossypiboma: A surgical mishap
A 30-year-old lady was admitted, with a history of a lump and recurrent pain in the abdomen. A history of surgery for a uterine myoma, 3 months ago, at a private nursing home was noted. On examination, an intraperitoneal lump was palpable, occupying the umbilical, right lumbar, and right iliac quadrants. Ultrasonography detected an oval mass of size 11 × 10 × 9 cm3 with a hypoechoic rim. Noncontrast computed tomography revealed a large mass lesion with a thick capsule and spongiform pattern of gas bubbles within it displacing adjacent bowel loops. Exploration revealed a surgical sponge of size 20 × 14 cm2 lying in the peritoneal cavity compressing the jejunoileal area and its mesentery []. It was removed and as the involved gut was friable and edematous, 3 ft of the jejunoileal portion of the gut was resected and re-anastomosis done 10 cm proximal to the ileocaecal junction. Recovery was uneventful, and the patient was discharged on the seventh postoperative day.