{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T05:20:41Z","timestamp":1787721641660,"version":"build-2784847793"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gossypiboma (textiloma) denotes a retained surgical textile enclosed by a foreign-body reaction. It may remain silent for years or present with nonspecific symptoms; transmural migration into the bowel lumen is a rare complication that can cause obstruction or malabsorption and is frequently mistaken for other intraluminal masses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>\n                      A 65-year-old woman with a total abdominal hysterectomy for uterine myomatosis 15 years earlier presented with 15 days of right-upper-quadrant pain and gastrobiliary vomiting, superimposed on 3 years of intermittent chronic diarrhea and a 15-kg weight loss in the preceding year. She was hypotensive and dehydrated, with hyponatremia and acute kidney injury. Unenhanced multiplanar abdominopelvic CT, intravenous contrast having been withheld because of the acute kidney injury and enteral contrast because of vomiting and obstruction, showed an intraluminal right-flank mass with a mottled, spongiform pattern containing gas, mural thickening with mesenteric fat stranding and laminar free fluid, a transition point with proximal small-bowel dilatation and air\u2013fluid levels, and retrograde dilatation of the proximal loops. No radio-opaque marker was identified, and the mass was initially interpreted as a bezoar. Because she was managed emergently, no dedicated malabsorption workup was performed, and the malabsorptive syndrome remained a clinical diagnosis. At emergency laparotomy, a paracecal internal hernia and a bezoar-like intraluminal mass 30\u2005cm from the ileocecal valve were found;\n                      <jats:italic>en bloc<\/jats:italic>\n                      resection of the affected ileum and sigmoid colon with a diverting ileostomy and mucous fistula was performed. Histopathology confirmed a 30-cm surgical gauze. She recovered uneventfully and was discharged on postoperative day 5.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intraluminal gossypiboma should be considered in any patient with previous abdominal or pelvic surgery who presents with chronic refractory diarrhea, malabsorption, or unexplained bowel obstruction, even decades later. CT is the modality of choice, although its diagnostic yield falls when intravenous contrast cannot be administered and no radio-opaque marker is visible, as occurred here; definitive management is surgical removal. Follow-up was limited to the early postoperative period; stoma reversal and confirmation of resolution of the malabsorptive syndrome remain pending. Rigorous surgical counts and radio-opaque-marked textiles remain the cornerstone of prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1930006","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:52:25Z","timestamp":1787719945000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Bezoar-mimicking intraluminal gossypiboma causing small-bowel obstruction and chronic malabsorption 15 years after hysterectomy"],"prefix":"10.3389","volume":"13","author":[{"given":"Marcel Antonio","family":"Cazarez-Aguilar","sequence":"first","affiliation":[{"name":"Centro de Investigaci\u00f3n y Docencia en Ciencias de la Salud (CIDOCS), Cirug\u00eda General, Hospital Civil de Culiac\u00e1n","place":["Culiac\u00e1n, Sinaloa, Mexico"]},{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Maga\u00f1a-Olivas","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y Docencia en Ciencias de la Salud (CIDOCS), Cirug\u00eda General, Hospital Civil de Culiac\u00e1n","place":["Culiac\u00e1n, Sinaloa, Mexico"]},{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00edn Adri\u00e1n","family":"Bol\u00edvar-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y Docencia en Ciencias de la Salud (CIDOCS), Cirug\u00eda General, Hospital Civil de Culiac\u00e1n","place":["Culiac\u00e1n, Sinaloa, Mexico"]},{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Alejandro","family":"Maga\u00f1a-Zavala","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y Docencia en Ciencias de la Salud (CIDOCS), Cirug\u00eda General, Hospital Civil de Culiac\u00e1n","place":["Culiac\u00e1n, Sinaloa, Mexico"]},{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Abelardo","family":"Renter\u00eda-Sol\u00eds","sequence":"additional","affiliation":[{"name":"Coordinaci\u00f3n de Quir\u00f3fano, Hospital M\u00e9dica de la Ciudad","place":["Culiac\u00e1n, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Angulo-Rocha","sequence":"additional","affiliation":[{"name":"Research Department, The Women\u2019s Hospital, Secretariat of Health","place":["Culiac\u00e1n, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidia","family":"Le\u00f3n-Sicairos","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]},{"name":"Research Department, Pediatric Hospital of Sinaloa","place":["Culiac\u00e1n, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Canizalez-Roman","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]},{"name":"Research Department, The Women\u2019s Hospital, Secretariat of Health","place":["Culiac\u00e1n, Sinaloa, Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas Javier","family":"Mart\u00ednez-Garc\u00eda","sequence":"additional","affiliation":[{"name":"School of Medicine, Autonomous University of Sinaloa","place":["Culiacan, Sinaloa, Mexico"]},{"name":"Research 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