Curious Case of Trans-luminally Migrated Gossypiboma

Gossypiboma is a common iatrogenic complication following abdominopelvic surgeries and has medicolegal implications. Common complications of retained surgical gauze/sponge include abscess formation, granuloma formation, etc. Transluminal migration of gossypiboma is rare and occurs by long-standing necrosis of the bowel wall. We report the case of a lady who presented with vague complaints following trans-abdominal hysterectomy and was found to have a gossypiboma inside one of the ileal loops on computed tomography. The radiologic findings were confirmed intra-operatively.