A case of missed gossypiboma.


 Shahizon AMM 1, Hanafiah M 2, Jutinih S 1

1 Radiology Department, Universiti Kebangsaan Malaysia Medical Centre, and 2 Radiology Department, MARA University Technology MARA Clinical Training Centre, Malaysia




Gossypiboma refers to a retained surgical cotton matrix. It is a rare but preventable complication of surgery. A 54-year-old man presented with a non-healing wound with pus discharge following open cholecystectomy and common bile duct exploration. Computed tomography revealed a sub-hepatic well-encapsulated mass, characteristic of a gossypiboma. Intraoperative finding revealed a retained abdominal pack with pus confirming the radiological findings of a gossypiboma. Retrospectively, the radio-opaque markers were seen in the initial radiograph during t-tube cholangiogram, which was not picked up initially. The present case highlighted the importance of being familiar with imaging features of a gossypiboma to prevent delayed appropriate management.


Keywords: Abdominal cavity, foreign body, imaging, surgical sponges


Correspondence author: Mohammad HANAFIAH, Radiology Department, MARA University of  Technology Clinical Training Centre, Sungai Buloh Campus, Selangor, 47000, Malaysia

Tel: +6-03-6126 5000; Fax: +6-03-61265164;

Email: mhanafiah8804@gmail.com



Brunei Int Med J. 2014; 10 (2): 102-105