{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:01Z","timestamp":1756291201091,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,24]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Gossypiboma (retained surgical sponge) is a rare, unwanted, avoidable and embarrassing medical event that can complicate the favourable evolution of any surgery. It is a rare but serious complication seldom reported due to its medicolegal implications. Gossypiboma increases the cost of treatment, negatively affects the otherwise good prognosis of the index surgery, and also increases the patient\u2019s morbidity and mortality.<\/jats:p>\n               <jats:p>It can occur after any surgery that requires the use of swabs. Intra-abdominal gossypiboma can migrate into the ileum, stomach, colon or bladder without any apparent opening in the wall of these luminal organs.<\/jats:p>\n               <jats:p>We present an exceptionally rare case of a retained surgical sponge that had transmigrated into the ileum in a patient who had undergone a caesarean section. She presented 1\u00bd years later with vomiting after solid foods and significant weight loss. During laparotomy, the sponge was successfully retrieved from the small intestine.<\/jats:p>","DOI":"10.1136\/bcr-2025-265456","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T21:30:18Z","timestamp":1751405418000},"page":"e265456","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Gossypiboma: the hidden surgical threat \u2013 delayed diagnosis and management"],"prefix":"10.1136","volume":"18","author":[{"given":"Preeti","family":"Gattani","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, DMMC, Nagpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4139-5789","authenticated-orcid":false,"given":"Sakshi","family":"Heda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences - Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avinash","family":"Rinait","sequence":"additional","affiliation":[{"name":"Department of Surgery, Datta Meghe Institute of Higher Education and Research, Nagpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4205-7430","authenticated-orcid":false,"given":"Ayush","family":"Heda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences - Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"2025082703093478000_18.7.e265456.1","doi-asserted-by":"crossref","first-page":"105521","DOI":"10.1016\/j.ijscr.2021.01.015","article-title":"Gossypiboma-an unusual cause of surgical abdomen and surgeon\u2019s nightmare: A rare case report","volume":"80","author":"Bairwa","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2025082703093478000_18.7.e265456.2","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1177\/2010105821991168","article-title":"Gossypiboma: An avoidable but not a rare complication","volume":"30","author":"Kumar","year":"2021","journal-title":"Proc Singap Healthc"},{"key":"2025082703093478000_18.7.e265456.3","first-page":"177","article-title":"Acute Bowel Obstruction Due to Transmural Migration of Gossypiboma: A Case Report","volume":"17","author":"Baset","year":"2024","journal-title":"Int Med Case Rep J"},{"key":"2025082703093478000_18.7.e265456.4","first-page":"713428","article-title":"Gossypiboma posing as a diagnostic dilemma: a case report and review of the literature","volume":"2014","author":"Srivastava","year":"2014","journal-title":"Case Rep Surg"},{"key":"2025082703093478000_18.7.e265456.5","article-title":"Surgical Management of Gossypiboma: A Case Report","volume":"15","author":"George Teressa","year":"2023","journal-title":"Cureus"},{"key":"2025082703093478000_18.7.e265456.6","first-page":"147","article-title":"Gossypiboma: A Case Series and Literature Review","volume":"30","author":"Alemu","year":"2020","journal-title":"Ethiop J Health Sci"},{"key":"2025082703093478000_18.7.e265456.7","doi-asserted-by":"crossref","first-page":"160","DOI":"10.4103\/jmh.JMH_105_18","article-title":"Gossypiboma \u2013 A nightmare for surgeon: A rare case with review of literature","volume":"10","author":"Gothwal","year":"2019","journal-title":"J Mid-life Health"},{"key":"2025082703093478000_18.7.e265456.8","doi-asserted-by":"crossref","first-page":"107274","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 J Surg Case Rep"},{"key":"2025082703093478000_18.7.e265456.9","doi-asserted-by":"crossref","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":"2025082703093478000_18.7.e265456.10","article-title":"Gossypiboma versus Gossip-Boma","volume":"2011","author":"Singh","year":"2011","journal-title":"Case Rep Radiol"},{"key":"2025082703093478000_18.7.e265456.11","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4103\/2229-5151.84805","article-title":"Gossypiboma, a rare cause of acute abdomen: A case report and review of literature","volume":"1","author":"Lata","year":"2011","journal-title":"Int J Crit Illn Inj Sci"},{"key":"2025082703093478000_18.7.e265456.12","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.jss.2023.12.052","article-title":"The Retained Surgical Items Risk Assessment Scale: Development and Psychometric Characteristics","volume":"296","author":"Erkan","year":"2024","journal-title":"J Surg Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:09:45Z","timestamp":1756289385000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,1]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2025-265456"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265456","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}