1 Department of Urology, Kairuki Hospital, P.O. Box 65300, Dar-es-salaam, Tanzania.
2 Department of Urology, Kilimanjaro Christian Medical Centre, P. O. Box 3010, Moshi, Tanzania.
3 Department of Urology, Mzinga Military Hospital, P.O. Box 737, Morogoro, Tanzania.
4 Department of Urology, Arusha Hospital P. O. Box 1489 Arusha, Tanzania.
World Journal of Advanced Research and Reviews, 2026, 30(01), 1328-1331
Article DOI: 10.30574/wjarr.2026.30.1.0925
Received on 03 March 2026; revised on 08 April 2026; accepted on 11 April 2026
Case summary: A mass that forms around a retained surgical textile, usually a sponge, and causes a foreign-body reaction is known as gossypiboma (also known as textiloma or retained surgical sponge). It is an avoidable iatrogenic condition that has consequences for patient safety and medical legal issues for practitioner and hospital and medical fraternity at large.
We present a case of 30 years old female with gossypiboma, following surgery which was done about 2 years ago, to address the complaints of lower urinary tract symptoms. She visited multiple facility where urethral catheter was inserted to relieve her symptoms and later was seen at out facility where diagnosis of gossypiboma was made during urethro-cystoscopy, which was later removed.
Acute or delayed presentation is possible, and it varies greatly. Infection, abscess, fistula, intestinal blockage, perforation, discomfort, palpable mass, and non-specific constitutional symptoms are all possible in patients. Some people don't have any symptoms for months or even years.
Gossypiboma; Retained surgical sponge; Textiloma; LUTS: Lower urinary tract symptoms
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Mohammed Mbarouk, Eliphius Asila, Zerra Cheyo, Samuel Kibona and Emanuel Itambu. A gossypiboma in the bladder; Case report. World Journal of Advanced Research and Reviews, 2026, 30(01), 1328-1331. Article DOI: https://doi.org/10.30574/wjarr.2026.30.1.0925.