Gossypiboma Mimicking an Ovarian Cyst, Discovered Two Years Post- Cesarean Section: A Case Report

Abstract This case report presents a unique instance of gossypiboma, a surgical complication characterized by the unintentional retention of foreign objects such as gauze or sponges within the peritoneal cavity. Despite its rarity, gossypiboma poses significant risks, including intestinal obstruction and abscess formation. We describe the case of a 37-year-old multiparous female who presented with abdominal pain two years post-cesarean section, initially diagnosed with an ovarian cyst. However, intraoperative exploration revealed a gauze-filled cyst adherent to the ovary and jejunum, highlighting the diagnostic challenge and the need for meticulous surgical evaluation. This is the first reported case of gossypiboma in Sudan in 2024, emphasizing the global prevalence of this medical error. Root cause analysis and curriculum modifications are essential to address this issue. Multidisciplinary collaboration is crucial for successful management, emphasizing the importance of prompt recognition and intervention. This case underscores the diagnostic complexities and the necessity for enhanced protocols to prevent similar occurrences, advocating for improved communication among healthcare teams to ensure optimal patient outcomes