{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:22:22Z","timestamp":1773969742435,"version":"3.50.1"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gossypiboma, a retained surgical foreign body, is a rare but serious complication with variable clinical and radiological features, posing diagnostic challenges. This case report describes a 55-year-old female with a history of total abdominal hysterectomy and incisional hernioplasty, presenting with a 6-month history of insidious abdominal pain and a palpable right iliac fossa mass. Initial ultrasound suggested a mesenteric dermoid, but her surgical history raised suspicion of gossypiboma. Computed tomography revealed a nonenhancing hypodense lesion with a curvilinear high-density structure (average attenuation of 1200 HU) within causing streak artifacts, characteristic of a radiopaque surgical sponge marker, confirming the diagnosis. Exploratory laparotomy identified an encapsulated surgical mop with dense adhesions, necessitating adhesiolysis, appendectomy, and ileal resection. The postoperative course was uneventful. This case highlights the importance of considering gossypiboma in patients with prior surgery, even without classic imaging features, and underscores the critical role of radiopaque markers in diagnosis.<\/jats:p>","DOI":"10.1055\/s-0045-1810410","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T22:55:32Z","timestamp":1753916132000},"page":"262-265","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Spongiform Pattern of Gossypiboma: How a Radiopaque Marker Solved the Mystery of a Retained Sponge"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4885-6792","authenticated-orcid":false,"given":"Deepthi","family":"Sanagavarapu","sequence":"additional","affiliation":[{"name":"Department of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3835-8599","authenticated-orcid":false,"given":"Vihar Reddy","family":"Mallapu","sequence":"additional","affiliation":[{"name":"Department of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vadlapally","family":"Karuna","sequence":"additional","affiliation":[{"name":"Department of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. Ankamma","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Radio-diagnosis, NRI Medical College, Chinakakani, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallikarjuna Reddy","family":"Mandapati","sequence":"additional","affiliation":[{"name":"Department of General Surgery, NRI Medical College, Chinakakani, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s10397-006-0263-4","article-title":"A foreign body (gossypiboma) in pregnancy: first report of a case","volume":"4","author":"R M Van der Weiden","year":"2007","journal-title":"Gynecol Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e264","DOI":"10.5114\/pjr.2023.127668","article-title":"Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review","volume":"88","author":"A Modrzejewski","year":"2023","journal-title":"Pol J Radiol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"418","DOI":"10.12659\/PJR.900745","article-title":"A pictorial review of the many faces of gossypiboma\u2013observations in 6 cases","volume":"82","author":"G Pole","year":"2017","journal-title":"Pol J Radiol"},{"issue":"31","key":"ref4","doi-asserted-by":"crossref","first-page":"4927","DOI":"10.3748\/wjg.v11.i31.4927","article-title":"Calcified reticulate rind sign: a characteristic feature of gossypiboma on computed tomography","volume":"11","author":"Y Y Lu","year":"2005","journal-title":"World J Gastroenterol"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.3748\/wjg.v11.i8.1248","article-title":"Report of gossypiboma from the standpoint in medicine and law","volume":"11","author":"L R Shyung","year":"2005","journal-title":"World J Gastroenterol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"481","DOI":"10.2214\/ajr.180.2.1800481","article-title":"Imaging of retained surgical sponges in the abdomen and pelvis","volume":"180","author":"A R O'Connor","year":"2003","journal-title":"AJR Am J Roentgenol"},{"issue":"S 01","key":"ref7","doi-asserted-by":"crossref","first-page":"S95","DOI":"10.1007\/s00256-006-0200-7","article-title":"Recurrent gossypiboma in the thigh","volume":"36","author":"A Puri","year":"2007","journal-title":"Skeletal Radiol"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s002689910084","article-title":"Intraperitoneal gossypibomas: the need to count sponges","volume":"24","author":"P R Lauwers","year":"2000","journal-title":"World J Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1186\/1757-1626-1-220","article-title":"Gossypiboma: a case report","volume":"1","author":"A Aminian","year":"2008","journal-title":"Cases J"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1810410.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T23:43:07Z","timestamp":1773963787000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1810410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,30]]},"references-count":9,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,3,19]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1810410","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"value":"0971-3026","type":"print"},{"value":"1998-3808","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,30]]}}}