A case report of a large multiloculated cyst following the retention of a long gas in cesarean section

Document Type : Case report

Authors

1 Assistant professor, Department of Obstetrics and Gynecology, Women's Health and Diseases Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

2 Assistant professor, Department of Surgery, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

3 Assistant Professor, Department of Anesthesiology, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.

4 Instructor, Department of Anesthesiology, Research Center for Social Determinants of Health, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

10.22038/ijogi.2024.75658.5893

Abstract

Introduction: The term gossypiboma is used to describe surgical sponges or gauzes that remain in the patient's body after a surgery. The present study reports a case of a large multiloculated cyst following the retention of a long gas in an emergency cesarean section.
Case Presentation: A 37-year-old female patient underwent a cesarean section at a gestational age of 38 weeks due to labor pains and rupture of the membranes, and the baby was delivered and the patient was discharged without any complications. About 5 months later, the patient referred because of right flank pain. In the ultrasound, a large multiloculate cyst was reported on the right side of the pelvis and slightly above it. The general surgeon requested a CT scan, which revealed a cyst-like mass on the right side of the abdominal cavity with fluid and gas accumulation. Finally, after months of waiting for various imaging, the X-ray image diagnosed the foreign body of long gauze after 11 months. For this reason, the patient was hospitalized and underwent surgery, and then the cyst, which consisted of long gas and a thick wall of ammentum around it, was released and removed. A week later, the patient had a general condition without problems.
Conclusion: Failure to prevent the occurrence of Gossypiboma is one of the most important issues that causes serious complications such as large cysts in patients. Therefore, all scrub and circular personnel in the operating room should use all their attention when performing instrument counts.

Keywords

Main Subjects

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 27, Issue 2
April 2024
Pages 71-76

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