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Urol Ann. 2014 Apr;6(2):163-5. doi: 10.4103/0974-7796.130655.

Robotic-assisted laparoscopic excision of gossypiboma simulating bladder wall mass after 35 years of appendectomy.

Urology annals

Emad Sabri Rajih, Waleed Khalid Al-Khudair, Turky Al-Hussain, Mohammed Faihan Al-Otaibi

Affiliations

  1. Department of Urology, Taibah University, Madina, Saudi Arabia.
  2. Department of Urology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
  3. Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

PMID: 24833833 PMCID: PMC4021661 DOI: 10.4103/0974-7796.130655

Abstract

Gossypiboma or textiloma are terms commonly used to describe a retained sponge in the body that is composed of sponge invested within a layer of foreign body reaction in the form of an abscess or an aseptic fibrotic reaction. These cases are rarely reported despite an incidence of 1:1,000-1,500 of abdominal or pelvic surgery. We report a patient who presented with an incidental supravesical mass discovered upon work up for frequency and suprapubic pain. He had appendectomy 35 years ago. The mass was excised by robotic-assisted laparoscopic technique. The pathologic evaluation came as gossypiboma.

Keywords: Appendectomy; Foreign bodies/complications; robotics; urinary bladder

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