Surgical removal of cesarean-related textiloma: A case report

Introduction

Gossypiboma, a rare complication of surgery, involves retained surgical items like sponges, posing serious health risks and legal challenges. Though incidence rates have declined, the condition remains difficult to diagnose, often presenting with nonspecific symptoms and significant medicolegal implications.

Case presentation

A 30-year-old female with persistent gastrointestinal symptoms post-cesarean section was diagnosed with a retained stitch after 1.5 years, leading to surgical intervention. Following the removal of the foreign body, her symptoms improved significantly, highlighting the importance of thorough evaluation in post-surgical patients.

Discussion

Despite preventive measures, gossypibomas remain a significant issue, occurring in approximately 1 in 100 to 3000 surgical cases, particularly in emergency situations. Clinical manifestations can vary widely, and CT imaging is crucial for diagnosis, revealing characteristic patterns that guide surgical intervention for effective treatment.

Conclusion

This case highlights the seriousness of gossypiboma and the need for increased medical awareness to prevent its occurrence. Early diagnosis and appropriate management are essential to avoid severe complications, emphasizing the importance of educating healthcare professionals about gossypibomas as a differential diagnosis.