{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:51:56Z","timestamp":1774201916747,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gossypiboma is a diagnostic challenge, particularly in long-standing cases where characteristic imaging features may be lost. We report the case of a 78-year-old woman with a sponge retained from an abdominal hysterectomy performed 38\u00a0years earlier. The pelvic mass was incidentally detected on computed tomography (CT) and misdiagnosed as a solid ovarian tumor on magnetic resonance imaging, prompting a laparotomy. Intraoperatively, the mass was revealed to be a retained sponge; however, complete resection was impossible due to severe adhesions and massive bleeding. During follow-up without reoperation, the patient developed abdominal pain 16 months later, and CT showed a small bowel fistula and an intra-abdominal abscess. Due to the high surgical risk and the fact that resection of the mass would be extremely difficult, a diverting loop ileostomy was created to control the inflammation. This case highlights the difficulty of preoperative diagnosis and discusses optimal management strategies for long-standing, asymptomatic gossypiboma.<\/jats:p>","DOI":"10.1093\/jscr\/rjag182","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:11:16Z","timestamp":1774199476000},"source":"Crossref","is-referenced-by-count":0,"title":["A 38-year retained gossypiboma fortuitously diagnosed after suspected ovarian tumor surgery: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6297-6614","authenticated-orcid":false,"given":"Hirofumi","family":"Kawahara","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saiseikai Sendai Hospital , 2-46 Harada-cho, Satsumasendai-shi,Kagoshima-ken 895-0074 ,","place":["Japan"]},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Nagano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saiseikai Sendai Hospital , 2-46 Harada-cho, Satsumasendai-shi,Kagoshima-ken 895-0074 ,","place":["Japan"]},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Taketoshi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saiseikai Sendai Hospital , 2-46 Harada-cho, Satsumasendai-shi,Kagoshima-ken 895-0074 ,","place":["Japan"]},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taiga","family":"Nagano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saiseikai Sendai Hospital , 2-46 Harada-cho, Satsumasendai-shi,Kagoshima-ken 895-0074 ,","place":["Japan"]},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Saiseikai Sendai Hospital , 2-46 Harada-cho, Satsumasendai-shi,Kagoshima-ken 895-0074 ,","place":["Japan"]},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2491-2189","authenticated-orcid":false,"given":"Hiroaki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University Hospital , 8-35-1 Sakuragaoka, Kagoshima-shi, Kagoshima-ken 890-0075 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"2026032213111480000_ref1","first-page":"136","article-title":"Vesical gossypiboma mimicking calculus: a report of two cases","volume":"13","author":"Mungasi","year":"2007","journal-title":"Afr J Urol"},{"key":"2026032213111480000_ref2","doi-asserted-by":"publisher","first-page":"56","DOI":"10.4236\/health.2012.42010","article-title":"Under-reporting of gossypiboma in a third-world country. A sociocultural view","volume":"04","author":"Irabor","year":"2012","journal-title":"Health"},{"key":"2026032213111480000_ref3","doi-asserted-by":"crossref","first-page":"3700","DOI":"10.1200\/JCO.2003.02.092","article-title":"Diagnostic challenges in patients with tumors: case 1. Gossypiboma (foreign body) manifesting 30 years after laparotomy","volume":"21","author":"Rajput","year":"2 003","journal-title":"J Clin Oncol"},{"key":"2026032213111480000_ref4","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1590\/S0100-69912007000200008","article-title":"Gossipiboma intra-abdominal: an\u00e1lise de 15 casos","volume":"34","author":"Iglesias","year":"2007","journal-title":"Rev Col Bras Cir"},{"key":"2026032213111480000_ref5","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1056\/NEJMsa021721","article-title":"Risk factors for retained instruments and sponges after surgery","volume":"348","author":"Gawande","year":"2003","journal-title":"N Engl J Med"},{"key":"2026032213111480000_ref6","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1097\/ACO.0b013e328324f82d","article-title":"Improving safety in the operating room: a systematic literature review of retained surgical sponges","volume":"22","author":"Wan","year":"2009","journal-title":"Curr Opin Anaesthesiol"},{"key":"2026032213111480000_ref7","doi-asserted-by":"crossref","first-page":"814","DOI":"10.2214\/AJR.07.2323","article-title":"Gossypiboma in abdomen and pelvis: MRI findings in four patients","volume":"189","author":"Kim","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"2026032213111480000_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaf581","article-title":"The gauze that time forgot: unmasking a liver mass and the surgical lessons etched in cotton","volume":"2025","author":"Mario","year":"2025","journal-title":"J Sur Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag182\/67471491\/rjag182.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag182\/67471491\/rjag182.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:11:18Z","timestamp":1774199478000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag182\/8537042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag182","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag182"}}