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Intravesical migration of gossypiboma following vaginal hysterectomy: An unusual cause of acute urinary retention

A gossypiboma also known as textiloma or cottonoid are terms used to describe a foreign object, such as a mass of cotton matrix or a sponge that is left behind in a body cavity during an operation. It is an uncommon surgical complication. The manifestations and complications of gossypiboma are so variable that diagnosis may be difficult and patient morbidity is significant. The incidence of retained surgical instruments is estimated at 1 in 100-3,000 of all surgical interventions and 1 in 1,000-1,500 for all intra-abdominal operations. We report a case of extrusion of forgotten gauze following vaginal hysterectomy in a 49-year-old woman. The gauze migrated into the bladder presenting with acute urinary retention. She had vesicostomy retrieval of the gossypiboma and repair of the defect on posterior wall of the bladder. She did well postoperatively with no complication. Any woman that had pelvic surgery and is presenting with recurrent pelvic pain, urinary tract infection (UTI) and lower urinary tract irritative, or obstructive symptoms gossypiboma should be suspected and investigated.