Gossypiboma: Retained Surgical Sponge afer Total Abdominal Hysterectomy with Spontaneous Transurethral Partal Extrusion Ali Samba 1 , Kareem Mumuni 1 and Amala Chukwu Okpala 2 1 Department of OBGYN, University of Ghana School of Medicine and Dentstry, Ghana 2 Department of OBGYN, Korle-Bu Teaching Hospital, Ghana Corresponding author: Ali Samba, Department of OBGYN, University of Ghana School of Medicine and Dentstry, Korle-Bu. Accra, Ghana, Tel: +0023326747367; E-mail: abmasa@yahoo.com Received date: July 19, 2016; Accepted date: January 10, 2017; Published date: January 12, 2017 Citaton: Samba A, Mumuni K, Okpala AC. A Case Report of Pregnancy in Rudimentary Horn, Gynecol Obstet Case Rep. 2017, 3:1. Abstract Retenton of surgical materials occurs afer diverse surgical procedures, ofen tmes afer countng of surgical materials pre and post operatvely. A 45 year old female in whom a surgical sponge was lef in the pelvis post hysterectomy with spontaneous transurethral partal extrusion is reported. Risk factors that could predispose to a gossypiboma and suggestons to prevent it are reported. Introducton Retenton of surgical sponges intra-abdominally is an uncommon surgical error and a rare but preventable occurrence [1,2]. The true incidence may never be known as the embarrassment, humiliaton, job loss and law suit that could atend this situaton ofen leads to shelving of many cases especially in the developing world [3]. The real incidence of retenton of surgical sponges intra- abdominally is yet to be well described. Reports have shown it to be in the range of 1 in 100 to 3000 for all surgical interventons and 1 in 1000 to 1500 for intra-abdominal operatons [4]. A case of a woman in whom a surgical sponge was inadvertently lef in her pelvis post abdominal hysterectomy which migrated via a vaginal vault fstula into the bladder with partal extrusion through the urethral orifce is reported here. Case Report A 45 year old multparous woman presented with an eight week history of dysuria, fever, chills, frequency, nocturia, straining, feeling of incomplete emptying, urge incontnence and lower abdominal pain associated with a three day history of protrusion of a whitsh substance from the urethral orifce (Figure 1). Figure 1 Gross appearance of surgical sponge protruding from urethral orifce. A year ago she had undergone a total abdominal hysterectomy for bleeding uterine fbroids at a private clinic; and had no symptoms untl eight weeks before reportng to the clinic. Previous treatments for recurrent urinary tract infectons were of no avail. Figure 2 Suspected vesico-vaginal fstula outlined by arrow. A cystogram done revealed a structure which resembled a surgical sponge situated between the bladder and vagina and an urethro-vaginal fstula was suspected as contrast outlined both the vagina and gauze during inital phase of contrast administraton (Figure 2). Case Report iMedPub Journals http://www.imedpub.com/ DOI: 10.21767/2471-8165.1000039 Gynecology & Obstetrics Case Report ISSN 2471-8165 Vol.3 No.1:39 2017 © Copyright iMedPub | This article is available from: http://gynecology-obstetrics.imedpub.com/ 1