GOSSYPIBOMA: RADIOLOGICAL DIAGNOSIS AND CHALLENGES- A CASE REPORT AND REVIEW OF LITERATURE Authors: AWAJIMIJAN NATHANIEL MBABA (FWACS)1 , MICHAEL PROMISE OGOLODOM (MSc)2. RUFUS ABAM (FWACS)1 AND CHIDINMA WEKHE (FWACS)1
ABSTRACT
Gossypiboma is a preventable surgical complication with grave medico-legal implications. It
refers to a mass of surgical cotton sponge inadvertently left in body cavity of a patient during
surgery. It is a major surgical error which may lead to considerable morbidity and mortality. The
radiologists play key role in the diagnosis of gossypiboma and confirmation of diagnosis through
feedback is vital to the improvement of radiological knowledge. We present the case of a postmyomectomy
woman whose abdominal computed tomography scan revealed a mass suggestive
of gossypiboma, to discuss typical Computed Tomography(CT) imaging findings and to
emphasize the need for exchange of information (in the form of feedback) between the
radiologists and the surgeons to promote mutual diagnostic shrewdness and as well enhance their
confidence. In this manner the overall care of the patient may be improved.
Keywords: Computed tomography, gossypiboma, radiological diagnostic challenges