{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T19:57:52Z","timestamp":1788033472129,"version":"build-2784847793"},"reference-count":33,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,11]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>Retained gossypiboma is a rare and under-reported complication of surgery, which can present in a variety of ways. Thus, a very high index of suspicion is required by the clinician to clinch the diagnosis in a postoperative patient. A 45-year-old woman, who was otherwise asymptomatic, presented to the General Surgery outpatient department (OPD) with a contrast-enhanced CT suggestive of a retained intra-abdominal foreign body from previous surgery. An exploratory laparotomy was planned on elective basis. Intraoperatively, dense inter-bowel adhesions were found in the upper abdomen. After a meticulous adhesiolysis, an ileoileal fistula and an intraluminal surgical sponge were discovered. Resection and anastomosis of the involved ileal segment was done. An asymptomatic patient with a migrated intramural gossypiboma with an ileoileal fistula is an extremely rare occurrence. In these circumstances, it becomes almost impossible for the surgeon to clinch the diagnosis of a gossypiboma in an otherwise asymptomatic patient, without the aid of radiological investigations.<\/jats:p>","DOI":"10.1136\/bcr-2018-228587","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T05:25:37Z","timestamp":1561613137000},"page":"e228587","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Asymptomatic gossypiboma with complete intramural migration and ileoileal fistula"],"prefix":"10.1136","volume":"12","author":[{"given":"Pranav Mohan","family":"Singhal","sequence":"first","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7492-8475","authenticated-orcid":false,"given":"Manu","family":"Vats","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushanto","family":"Neogi","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehul","family":"Agarwal","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,26]]},"reference":[{"key":"2025082711440807000_12.6.e228587.1","first-page":"709","article-title":"MR imaging findings of paravertebral gossypiboma","volume":"28","author":"Kim","year":"2007","journal-title":"Am J Neuroradiol"},{"key":"2025082711440807000_12.6.e228587.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.047"},{"key":"2025082711440807000_12.6.e228587.3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/145749690909800103","article-title":"Retained surgical foreign bodies: a comprehensive review of risks and preventive strategies","volume":"98","author":"Stawicki","year":"2009","journal-title":"Scand J Surg"},{"key":"2025082711440807000_12.6.e228587.4","doi-asserted-by":"crossref","unstructured":"Ogundiran T , Ayandipo O , Adeniji-Sofoluwe A , et al . 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