Gossypiboma - Rare Cause of Rectovaginal Fistula: A Case Report

Main Article Content

Neeraj Saxena
Rohit Chauhan
Tayod Kumar Choudhary

Abstract

Gossypiboma is the term used when a surgical sponge is left unknowingly in the patient’s body after a surgical procedure. It is a grave but preventable complication of surgery which can lead to serious medico-legal complications. It may either present early with/without lump formation or may remain asymptomatic for a long time with only vague symptoms. However, gossypiboma leading to the formation of a rectovaginal fistula is extremely rare.

We report a case of a 40-year lady who presented with vague pain abdomen and passage of stools and flatus per vagina. She had a history of total abdominal hysterectomy eight months back done at an outside hospital. A computed tomography (CT) revealed a retained surgical sponge and a fistulous tract between the rectum and vagina. Exploratory laparotomy was done at our institution and the surgical sponge was extracted from a mass comprising of distal ileum and sigmoid colon. Bowel continuity was restored with an ileal diversion.

Keywords:
Gossypiboma, rectovaginal fistula, retained surgical sponge.

Article Details

How to Cite
Saxena, N., Chauhan, R., & Choudhary, T. K. (2020). Gossypiboma - Rare Cause of Rectovaginal Fistula: A Case Report. Asian Journal of Case Reports in Surgery, 5(3), 1-5. Retrieved from https://journalajcrs.com/index.php/AJCRS/article/view/30163
Section
Case Study

References

Rajput A, Loud PA, Gibbs JF, Kraybill WG. Diagnostic challenges in patients with tumors: Case 1. Gossypiboma (foreign body) manifesting 30 years after laparotomy. J Clin Oncol. 2003;21(19): 3700-3701.
DOI: 10.1200/JCO.2003.02.092

Colak T, Olmez T, Turkmenoglu O, Dag A. Small bowel perforation due to gossypiboma caused acute abdomen. Case Reports in Surgery. Article ID 219354. 2013;2013:3.

Zejnullahu VA, Bicaj BX, Zejnullahu VA, Hamza AR. Retained surgical foreign bodies after surgery. Open Access Maced J Med Sci. 2017;5(1):97-100.
DOI: 10.3889/oamjms.2017.005

Uluçay T, Dizdar MG, SunayYavuz M, Aşirdizer M. The importance of medico-legal evaluation in a case with intraabdominal gossypiboma. Forensic Sci Int. 2010;198(1-3):e15-e18.
DOI: 10.1016/j.forsciint.2010.01.013

Agrawal H, Gupta N, Krishengowda U, Gupta AK, Naskar D, Durga CK. Transmural Migration of Gossypiboma: A Rare Cause of Acute Abdomen. Indian J Surg. 2018;80:84–86.
Available:https://doi.org/10.1007/s12262-017-1660-9

Lata I, Kapoor D, Sahu G. Gossypiboma, a rare cause of acute abdomen: a case report and review of literature. International Journal of Critical Illness and Injury Science. 2011;1(2):157–160.

Malhotra MK. Migratory surgical gossypiboma-cause of iatrogenic perforation: case report with review of literature. Nigeria Journal of Surgery. 2012; 18(1):27–29.

Malik A, Jagmohan P. Gossypiboma: US and CT appearance. Indian J Radiol Imaging. 2002;12: 503-4.

Gibbs VC, Coakley FD, Reines HD. Preventable errors in the operating room: retained foreign bodies after surgery—part I. Current Problems in Surgery. 2007; 44(5):281–337.

Kassi A, Yenon K, Koffi E. A transmural migration of a gossypiboma in the right colon responsible for a mass which mimicked an abscessed colonic tumor: A case report. International Journal of Surgery Case Reports. 2018;51:228–230.
Available:https://doi.org/10.1016/j.ijscr.2018.08.046

Colak T, Olmez T, Turkmenoglu O, Dag A. Small bowel perforation due to gossypiboma caused acute abdomen. Case Rep. Surg; 2013;219354.
Available:http://dx.doi.org/10.1155/2013/219354

Javanmard B, Yousefi MR, Fadavi B, Fallah Karkan M. Retained surgical gauze presenting with gross hematuria: A case report. Urol. J. 2017;14:5027–5029.