Acute abdomen by gossypiboma

Retained foreign bodies after surgery is a quite rare condition, which can have medico-legal consequences. Foreign bodies forgotten in the abdomen include towels, artery forceps, pieces of broken instruments or irrigation sets, and rubber tubes. The most common surgically retained foreign body is the laparotomy sponge. Such materials cause foreign body reaction in the surrounding tissue. The complications caused by these foreign bodies are well known, but cases are rarely published because of medico-legal implications. We report a case of 41-year-old female who was admitted with complaints of intestinal obstruction who had a previous history of hysterectomy performed 2 months back, at another hospital. Pathologists must be aware of this entity and its proper reporting, as the cases are liable to go to court. Surgeons must recognize the risk factors that lead to a gossypiboma and take measures to prevent it.