{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:33:30Z","timestamp":1789122810573,"version":"build-2803163510"},"reference-count":12,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Gossypiboma is a retained surgical item, most commonly gauze or sponge, inadvertently left inside a patient\u2019s body after surgery. Although preventable, it can cause severe complications and is often underreported due to medicolegal concerns. We present a case of a 61-year-old woman who experienced left lower abdominal pain for three days. Her history included lumbar disc surgery via the lower left abdomen a decade earlier. Physical examination revealed a non-tender pelvic mass, and abdominal computed tomography (CT) showed a 4.5 \u00d7 4.7 \u00d7 6.1 cm high-attenuation lesion with internal low-attenuation areas in the left retroperitoneal space. The mass was surgically removed, and gauze material was identified inside, confirming the diagnosis of gossypiboma. The patient recovered uneventfully postoperatively. Gossypiboma can present with subacute or chronic symptoms, making diagnosis challenging. While uncommon, gossypiboma should be considered in differential diagnoses of patients with unexplained abdominal masses and prior surgical history. Prompt surgical management is essential to prevent complications. This case highlights the importance of meticulous surgical counts and awareness of this rare but serious condition.<\/jats:p>","DOI":"10.3390\/reports8040242","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T10:30:59Z","timestamp":1763634659000},"page":"242","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gossypiboma, a Rare Cause of Abdominal Pain: A Case Report"],"prefix":"10.3390","volume":"8","author":[{"given":"Doo Yong","family":"Son","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi 39371, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6717-2683","authenticated-orcid":false,"given":"Moon Han","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi 39371, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1148\/129.2.323","article-title":"Gossypiboma\u2014The problem of the retained surgical sponge","volume":"129","author":"Williams","year":"1978","journal-title":"Radiology"},{"key":"ref_2","first-page":"515","article-title":"A Case of a Retained Surgical Sponge Diagnosed by Colonoscopy","volume":"23","author":"Kim","year":"2001","journal-title":"Korean J. 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Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1001\/jamasurg.2015.0301","article-title":"Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires: A Systematic Review of Surgical Never Events","volume":"150","author":"Hempel","year":"2015","journal-title":"JAMA Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1001\/archsurg.1990.01410150127025","article-title":"The retained surgical sponge following intra-abdominal surgery. A continuing problem","volume":"125","author":"Rappaport","year":"1990","journal-title":"Arch. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.amjsurg.2013.09.029","article-title":"Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval","volume":"208","author":"Stawicki","year":"2014","journal-title":"Am. J. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","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":"ref_10","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.surg.2008.03.012","article-title":"Cost-effectiveness of routine radiographs after emergent open cavity operations","volume":"144","author":"Dossett","year":"2008","journal-title":"Surgery"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S94","DOI":"10.2214\/AJR.07.7132","article-title":"Imaging of gossypibomas: Pictorial review","volume":"193","author":"Manzella","year":"2009","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"4927","DOI":"10.3748\/wjg.v11.i31.4927","article-title":"Calcified reticulate rind sign: A characteristic feature of gossypiboma on computed tomography","volume":"11","author":"Lu","year":"2005","journal-title":"World J. Gastroenterol."}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/4\/242\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T11:10:43Z","timestamp":1763637043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/4\/242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["reports8040242"],"URL":"https:\/\/doi.org\/10.3390\/reports8040242","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]}}}