title: Urinary Retention as the Only Symptom of Retained Surgical Sponge (Gossypiboma), 29 Years After Cesarean Procedure.
abstract: A 68 year old lady presented to urology department suffering from acute urinary retention. The U/S revealed hydronephrosis in left kidney and a mass at the left side of the small pelvis which pushed forward the uterus and the bladder. The CT scan confirmed a mixed (solid and cystic) mass, with diameter of 12 cm with interpretation of the left ovary. The patient underwent laparotomy and the mass was excised after a difficult dissection due to severe adhesion with the bowel. The well-capsulated mass was a retained surgical sponge. The patient had undergone cesarean procedure 29 years ago.
authors.affiliation: Urology and Neurourology Unit, National Rehabilitation Center, Chasias Av. 8th Bus Stop & Spirou Theologou 1, Ilion, 13122, Athens, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Konstantinidis
authors.affiliation: Gynecology Department, Athens Medical Center, Areos 36, P. Faliro, 17562, Athens, Greece.
authors.forename: Spiridon
authors.initials: S
authors.lastname: Vlachos
keywords: Gossypiboma; Retained surgical sponge; Urinary retention