An Unusual Case of Transmural Migration of Surgical Mop: A Diagnostic Challenge

Most commonly encountered in the abdomen in patients with a previous history of surgery, gossypiboma is an uncommon surgical complication. These sponges / surgical mops are unintentionally left behind in the surgical bed. The resulting presentation and complications are highly variable, making the diagnosis a challenge. Though rare, gossypibomas should be kept as a differential diagnosis in patients presenting with localised pain and a lump in the abdomen, along with a previous surgical history. We report a case of a 30-year-old female who presented with pain and a lump in the abdomen (right lumbar region), which was progressive in nature; however, the patient did not have any other complaints/symptoms. She had a history of LSCS and tubectomy 1.5 years ago, which was the only clue that led to the diagnosis.