Spontaneous Transmural Migration and Impaction of Gossypiboma: A Rare Cause of Acute Intestinal Obstruction

Retained surgical sponge is not uncommon yet an underreported event. Spontaneous transmural migration into hollow viscera is further rare but reported occurrence. We present a case of 49-year-old male who apparently had undergone exploratory laparotomy and splenectomy for trauma 4 years back, presented to Emergency Department with features of small intestinal obstruction. On exploration laparotomy a bezoar-like intraluminal foreign body impacted at 20cm from ileocaecal junction which on per enterotomy retrieval was a surgical sponge.