{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:33:33Z","timestamp":1789122813614,"version":"build-2803163510"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin J Gastroenterol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Gossypiboma is a cotton-based foreign body retained within the human body following a surgical procedure. Transmural migration of intra-abdominal gossypiboma into the small bowel is rare; however, it can present with life-threatening complications. We report a case of a 28-year-old male who presented with small bowel obstruction due to gossypiboma, 11\u00a0years after the initial surgical procedure. Due to the size of the retained surgical swab, 40\u00a0cm\u2009\u00d7\u200940\u00a0cm, an open surgical approach was preferred. Following removal of the retained swab and bowel reconstruction, the patient was followed in clinic and discharged without complications. Staff education and adherence to operating room record-keeping protocols can prevent gossypiboma. To the best of our knowledge such a long interval between the initial surgery and presentation of gossypiboma that large has not been previously reported in the literature.<\/jats:p>","DOI":"10.1007\/s12328-021-01400-y","type":"journal-article","created":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T13:03:48Z","timestamp":1617195828000},"page":"1067-1070","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Presentation and surgical management of a gossypiboma presenting with small bowel obstruction"],"prefix":"10.1007","volume":"14","author":[{"given":"George","family":"Ryan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-8355","authenticated-orcid":false,"given":"Michal","family":"Kawka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janakan","family":"Gnananandan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Yip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"1400_CR1","doi-asserted-by":"publisher","first-page":"225","DOI":"10.5097\/1300-0705.UCD.489-10.00","volume":"26","author":"A Sozutek","year":"2010","unstructured":"Sozutek A, Karabuga T, Bozdag AD, et al. Asymptomatic gossypiboma mimicking a liver mass. Turk J Surg. 2010;26:225\u20138.","journal-title":"Turk J Surg"},{"key":"1400_CR2","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1056\/NEJMsa021721","volume":"348","author":"AA Gawande","year":"2003","unstructured":"Gawande AA, Studdert DM, Orav EJ, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348:229\u201335.","journal-title":"N Engl J Med"},{"key":"1400_CR3","doi-asserted-by":"publisher","first-page":"613","DOI":"10.2169\/internalmedicine.47.0391","volume":"47","author":"A Erdil","year":"2008","unstructured":"Erdil A, Kilciler G, Ates Y, et al. Transgastric migration of retained intra abdominal surgical sponge: gossypiboma in the bulbus. Intern Med. 2008;47:613\u20135.","journal-title":"Intern Med"},{"key":"1400_CR4","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1097\/OGX.0b013e318173538e","volume":"63","author":"Y Zantvoord","year":"2008","unstructured":"Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural migration of retained surgical sponges: a systematic review. Obstet Gynecol Surv. 2008;63:465\u201371.","journal-title":"Obstet Gynecol Surv"},{"key":"1400_CR5","doi-asserted-by":"publisher","first-page":"94","DOI":"10.2214\/AJR.07.7132","volume":"193","author":"A Manzella","year":"2009","unstructured":"Manzella A, Filho PB, Albuquerque E, et al. Imaging of gossypibomas: pictorial review. Am J Roentgenol. 2009;193:94\u2013101.","journal-title":"Am J Roentgenol"},{"key":"1400_CR6","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1186\/1756-0500-6-413","volume":"6","author":"A Sozutek","year":"2013","unstructured":"Sozutek A, Yormaz S, Kupeli H, et al. Transgastric migration of gossypiboma remedied with endoscopic removal: a case report. BMC Res Notes. 2013;6:413.","journal-title":"BMC Res Notes"},{"key":"1400_CR7","unstructured":"World Health Organization. Safe Surgery; 2009. https:\/\/www.who.int\/patientsafety\/topics\/safe-surgery\/checklist\/en\/. Accessed 08\/03\/2021."},{"key":"1400_CR8","first-page":"354","volume":"27","author":"GSV Kumar","year":"2017","unstructured":"Kumar GSV, Ramani S, Mahajan A, et al. Imaging of retained surgical items: a pictorial review including new innovations. Indian J Radiol Imaging. 2017;27:354\u201361.","journal-title":"Indian J Radiol Imaging"}],"container-title":["Clinical Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12328-021-01400-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12328-021-01400-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12328-021-01400-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T16:23:36Z","timestamp":1626971016000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12328-021-01400-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["1400"],"URL":"https:\/\/doi.org\/10.1007\/s12328-021-01400-y","relation":{},"ISSN":["1865-7257","1865-7265"],"issn-type":[{"value":"1865-7257","type":"print"},{"value":"1865-7265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,31]]},"assertion":[{"value":"10 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"MK, GR, JG and VY declare that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Written informed consent was obtained from the patient for publication of this study and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}