Cystoid gossypiboma of the liver 15 years after cholecystectomy

On his admission, clinical examination and laboratory testing (complete blood count, erythrocyte sedimentation rate, blood biochem- istry panel, tumor markers) revealed nothing abnormal. In a multivariate analysis of a retrospective case-control study, Lincourt et al. identified two factors associated with the risk of a retained foreign body, meaning the incorrect counts and total number of major proce- dures.4 In addition, the use of modern technology (i.e., radiofrequency tagging of surgical sponges) and better perioperative patient processing systems (improved sur- gical team communication, multiple "checks and bal- ances'') may ultimately help minimize their incidence.1 As illustrated by our case, the appearance of a retained surgical sponge is very variable and hard to diagnose, especially in chronic cases leading to mis- interpretations. [...]clinical suspicion of a tex- tiloma leading to a thorough investigation should be raised in patients with a surgical history and a non- typical abdominal mass.