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Gossypiboma – A Rare Cause of Vesico-Vaginal Fistula

Gossypiboma also known as textiloma refers to a retained foreign body in the body after any operation. It is a rare but dreadful complication which is usually under reported due to medico-legal implications. It can present in numerous ways and can even remain asymptomatic for years after operation. Here, we are reporting a case of gossypiboma presenting as a vesico-vaginal fistula. A 65 years old lady presented with discharge per vaginum, bleeding per vaginum and hematuria. She had a history of vaginal hysterectomy six years back for uterovaginal prolapse and left radical nephrectomy for hematuria and cysts in left kidney five years back. On clinical examination and radiological investigations, a retained foreign body was suspected. On laparotomy, gossypiboma was visualized which had migrated into the bladder through vesico-vaginal fistula. The retained gauze piece was removed followed by vesico-vaginal fistula repair.