title: Gossypiboma manifesting as urachal mass.
abstract: Gossypiboma (retained surgical sponge) occurs between 1 in 1000 and 1 in 1500 of all intra-abdominal operations. Patients with gossypibomas may present asymptomatically or with nonspecific symptoms, such as abdominal pain or bloating; identification frequently relies on imaging. Results of imaging alone, however, may appear nonspecific, and the gossypiboma may mimic other masses, such as neoplasms, hematomas, or abscesses. They require surgical removal for definitive diagnosis and treatment. Herein we present an unusual case of gossypiboma masquerading as an urachal mass in a 75-year-old woman. Diagnostic evaluation, natural history, and prevention of retained surgical materials are discussed.
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center Dallas, TX.
authors.forename: Nirmish
authors.initials: N
authors.lastname: Singla
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center Dallas, TX.
authors.forename: Ahmed Q
authors.initials: AQ
authors.lastname: Haddad
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center Dallas, TX.
authors.forename: Christopher
authors.initials: C
authors.lastname: Cefalu
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center Dallas, TX.
authors.forename: Vitaly
authors.initials: V
authors.lastname: Margulis
keywords: Gossypiboma; Patient safety; Surgical errors; Urachal mass