{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:36:20Z","timestamp":1793406980443,"version":"4.5.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Gossypiboma, the retention of surgical material in the body post-surgery, is a rare but serious complication often underreported due to legal and reputational concerns. It commonly occurs after abdominal surgeries, with presentations ranging from abscess formation to intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>An 18-year-old girl presented with abdominal pain and distention, along with vomiting for six weeks after cholecystectomy. Initial misdiagnoses as pancreatitis delayed appropriate treatment. Exploratory laparotomy revealed an intra-abdominal gossypiboma, which had transmigrated into the ileum, causing obstruction. Surgical removal of the retained pack and ileal resection with primary anastomosis were performed, leading to a successful recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The incidence of gossypiboma varies widely and depends on surgical practices. Transmural migration into the gastrointestinal tract, as seen in this case, is rare and potentially life-threatening. Accurate sponge counts, use of radio-opaque materials, and adherence to safety protocols are crucial preventive measures. Imaging modalities aid diagnosis, but surgical exploration remains definitive in uncertain cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the critical need for awareness, accurate surgical protocols, and vigilance in postoperative management to prevent and manage gossypibomas. Early recognition and intervention can mitigate complications and improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111138","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T12:54:28Z","timestamp":1741697668000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Gossypiboma-induced ileal obstruction following cholecystectomy: A case report and literature review"],"prefix":"10.1097","volume":"129","author":[{"given":"Mohammad Asef","family":"Adelyar","sequence":"first","affiliation":[{"name":"Department of Abdominal Surgery and Abdominal Oncological Surgery, Aliabad Teaching Hospital, Kabul University of Medical Sciences, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Tavakkoli","sequence":"additional","affiliation":[{"name":"Department of Urology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghulam Saki","family":"Hassani","sequence":"additional","affiliation":[{"name":"Department of Urology, Aliabad Teaching Hospital, Kabul University of Medical Sciences, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muska","family":"Anwary","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Stomatology Teaching Hospital, Kabul University of Medical Sciences, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Saadaat","sequence":"additional","affiliation":[{"name":"Department of Histopathology, French Medical Institute for Children, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maiwand","family":"Anwari","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Jamhuriat Hospital, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-36-20260423","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.924506","article-title":"Transmural migration of gossypiboma with intraluminal small-bowel obstruction: a case report","volume":"21","author":"de Sousa,","year":"2020","journal-title":"The American Journal of Case Reports."},{"issue":"1","key":"R2-36-20260423","article-title":"Intestinal obstruction and ileocolic fistula due to intraluminal migration of a gossypiboma","volume":"2016","author":"Margonis,","year":"2016","journal-title":"Case Reports in Surgery."},{"key":"R3-36-20260423","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2022.107274","article-title":"Hidden retained surgical sponge with intestinal migration: a rare case report","volume":"95","author":"Eghbali,","year":"2022","journal-title":"Int. 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Case Rep."},{"issue":"2","key":"R10-36-20260423","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S0001-2092(06)60172-5","article-title":"Recommended practices for sponge, sharps, and instrument counts","volume":"83","author":"Committee,","year":"2006","journal-title":"AORN J."},{"key":"R11-36-20260423","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1007\/s00423-005-0581-4","article-title":"Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center","volume":"391","author":"Yildirim,","year":"2006","journal-title":"Langenbecks Arch. 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Gastroenterol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003244?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003244?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T17:30:39Z","timestamp":1786037439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111138","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-02-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}