426 http://www.mednifico.com/index.php/elmedj/article/view/341 Open Access Case Repor   Karaoglan e alŌ licensee El Mednifico JornalŌ This is an open access aricle disribed nder he erms of he Creaie Commons Aribion License hpcreaiecommonsŌorglicensesbŌ hich permis nresriced se disribion and reprodcion in an medim proided he original ork is properl ciedŌ Cie his aricle as Karaoglan M Ipekci F Ser I Ork S Sahin AG Massie pper and loer gasroinesinal bleeding de o inraabdominal gosspibomaŌ El Mednifico Jornal  Ō Massie pper and loer gasroinesinal bleeding de o inraabdominal gosspiboma Mharrem Karaoglan   Fa Ipekci   Ismail Ser   Safak Ork   Aad Gai Sahin  Inrodcion Gossbipoma is defined as srgical maerial sch as compresses or sponges forgoen a he operaion sie folloing srgical proce dresŌ The can be enconered in all kinds of srger heher inra abdominal or eraabdominalŌ The incidence of gossbipoma is generall nderrepored de o medicolegal cases and being asmpomaic in man paiens Ō In clinical assessmens he can be misdiagnosed as recrrence of mor mass cs ecŌ Clinical presenaion is ariable and dependen on he locaion and sie of he foreign bod and he pe of inflammaor reacion presened b he hosŌ Gosspibomas in he abdomen ma presen as abscess mass cs formaions inernal or eernal fisla and gasroinesinal obsrc ion or generalied perioniisŌ Paiens ma be asmpomaicŌ Non specific clinical smpoms or serios complicaions ma be encon eredŌ Gasroinesinal bleeding de o gosspiboma is no common and here in e presen a case ih gosspiboma ho nderen srgical inerenion de o massie pper and loer gasroinesi nal bleedingŌ Case Repor A earold man presened ih faige omiing abdominal pain and gasroinesinal bleedingŌ He had a hisor of rgen operaion de o gnsho injr hree monhs agoŌ In his preios operaion oing o haing injr of spleen kidne and colon splenecom lef nephrecom lef hemicolecom and Harmann pe emporar end colosom as performedŌ Afer ressciaie reamen he laboraor imaging and endos cop esing ere performed o deermine he bleeding sie Figre  and Ō Massie bleeding as obsered from boh colosom moh and ansŌ Moreoer hemaemesis eisedŌ Upper gasroin esinal endoscop did no reeal an bleeding sie and colonoscop from boh colosom and recm did no deec an case of bleed ingŌ De o deerioraion of he paiens condiion need of more blood ransfsion and ace abdomen signs e performed an r 1 Deparmen of General Srger Tepecik Training and Research Hospial Imir Trke 2 Deparmen of Transplanaion and General Srger Tepecik Training and Research Hospial Imir Trke gen eploraie laparoomŌ In he operaion a fibrin coered in flammaor mass ih dimension of  cm inading jej nm segmen of he inesine a abo  cmdisance from he Trei ligamen as obseredŌ This mass had inaded boh he pro imal par of he jejnm and sigmoid smp and had cased mco sal desrcion perforaion and bleeding siesŌ The inflammaor mass as oall remoed ih  cm segmen of he jejnm and endoend anasomosis as performedŌ  cm segmen of he sig moid smp ha as inaded b he inflammaor mass as re moed and smp as redoneŌ In paholog repor perforaion sies of he inesinal all localied perioniis and giancell inflammaor responses a arios sies ere obseredŌ A srgical sponge goss piboma  cm in diameer as reporedŌ Correspondence Ismail Ser Email  drismailseregeahooŌcom Absrac Backgrond Gossbipoma is defined as srgical maerial sch as compresses or sponges forgoen a he operaion sie folloing srgical procedresŌ The incidence of gosspiboma is generall nderrepored de o medicolegal cases and being asmpomaic in man paiens for monhs or earsŌ Case Presenaion This case repor presens he massie pper and loer gasroinesinal bleeding de o inraabdominal gosspiboma in a paien ih Harmann colosomŌ Conclsion The possible srgical maerials shold be kep in mind for all paiens ih hisor of srgical operaionsŌ In paiens ih gasroinesinal bleeding and hisor of preios operaion he diagnosis of he gosspiboma shold no be oerlookedŌ El Med J   Keords Gosspiboma Gasroinesinal Bleeding Harmann Colosom Figre  Xra image shos a sspicios mass formaionŌ Figre  CT scan reealed a mass formaion inclding air and liqid and inading he psoas mscle in he pper lef abdominal area in boh inra and reroperioneal areaŌ The radiological preliminar diagnosis as abscess in he field of operaionŌ