{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:24:19Z","timestamp":1774243459134,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gossypiboma, a retained surgical sponge causing a foreign-body reaction, is a rare but serious postoperative complication. Despite modern safety protocols, such events continue to occur, often underreported due to medicolegal concerns. We report the unusual case of a 23-year-old woman presenting with a palpable upper abdominal mass and systemic symptoms five years after an open cholecystectomy. Imaging suggested a well-encapsulated hepatic lesion in segment 3, raising suspicion for malignancy. Exploratory laparotomy revealed a gossypiboma embedded within liver parenchyma, requiring anatomical resection of segment 3. Histopathology confirmed granulomatous inflammation surrounding retained gauze fibers. The patient recovered uneventfully. This case highlights the importance of considering gossypiboma in the differential diagnosis of unexplained intra-abdominal masses, even years post-surgery. For surgeons, it serves as a critical reminder of the potential consequences of protocol breaches. Reporting such rare complications contributes to awareness, promotes safer surgical practices, and helps prevent recurrence of these avoidable errors.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf581","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T13:14:06Z","timestamp":1752585246000},"source":"Crossref","is-referenced-by-count":1,"title":["The gauze that time forgot: unmasking a liver mass and the surgical lessons etched in cotton"],"prefix":"10.1093","volume":"2025","author":[{"given":"Mario","family":"Medinilla","sequence":"first","affiliation":[{"name":"Hepato-Biliary and Liver Transplant Surgery Department, Hospital General San Juan de Dios, Guatemala , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3134-7889","authenticated-orcid":false,"given":"Salvador","family":"Lopez-Valdes","sequence":"additional","affiliation":[{"name":"Hepato-Biliary and Liver Transplant Surgery Department, Hospital General San Juan de Dios, Guatemala , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4177-6776","authenticated-orcid":false,"given":"Carlos","family":"Diaz Q","sequence":"additional","affiliation":[{"name":"Hepato-Biliary and Liver Transplant Surgery Department, Hospital General San Juan de Dios, Guatemala , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Henry","sequence":"additional","affiliation":[{"name":"Radiology Department, Hospital General San Juan de Dios, Guatemala , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"2025073010412241200_ref1","doi-asserted-by":"publisher","first-page":"147","DOI":"10.4314\/ejhs.v30i1.19","article-title":"Gossypiboma: a case series and literature review","volume":"30","author":"Alemu","year":"2020","journal-title":"Ethiop J Health Sci"},{"key":"2025073010412241200_ref2","doi-asserted-by":"publisher","first-page":"160","DOI":"10.4103\/jmh.JMH_105_18","article-title":"Gossypiboma - a nightmare for surgeon: a rare case with review of literature","volume":"10","author":"Gothwal","year":"2019","journal-title":"J Midlife Health"},{"key":"2025073010412241200_ref3","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/s0009-9260(05)82084-7","article-title":"Gossypiboma in the early post-operative period: a diagnostic problem","volume":"42","author":"Apter","year":"1990","journal-title":"Clin Radiol"},{"key":"2025073010412241200_ref4","first-page":"95","article-title":"Gossypiboma and its implications","volume":"2","author":"Umunna","year":"2012","journal-title":"J West Afr Coll Surg"},{"key":"2025073010412241200_ref5","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1148\/129.2.323","article-title":"Gossypiboma--the problem of the retained surgical sponge","volume":"129","author":"Williams","year":"1978","journal-title":"Radiology"},{"key":"2025073010412241200_ref6","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1001\/archsurg.1996.01430170112022","article-title":"Gossypiboma of the abdomen","volume":"131","author":"Moyle","year":"1996","journal-title":"Arch Surg"},{"key":"2025073010412241200_ref7","doi-asserted-by":"publisher","first-page":"5353","DOI":"10.3390\/jcm12165353","article-title":"Gossypiboma, the hidden enemy of an emergency Cesarean hysterectomy-case report and review of the literature","volume":"12","author":"Varlas","year":"2023","journal-title":"J Clin Med"},{"key":"2025073010412241200_ref8","doi-asserted-by":"publisher","first-page":"3717","DOI":"10.1097\/MS9.0000000000000992","article-title":"Retained surgical item (gossypiboma): a case report and literature review","volume":"85","author":"Alsuhaimi","year":"2023","journal-title":"Ann Med Surg (Lond)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf581\/63892497\/rjaf581.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf581\/63892497\/rjaf581.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:41:27Z","timestamp":1753886487000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf581\/8219142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf581","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf581"}}