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Gosiphiboma in urinary bladder with H/o Vaginal hyterectomy
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A lady with history of urinary incontinance & vaginal discharge sent for pelvic Us . On examination an irregular echogenic mass found within bladder. The mass gives posterior shadowing but does not moves with posture change. She had H/o vaginal hysterectomy 9 month back.
In the light of history with Us findings the case was diagnosed as Gosiphiboma ( retained surgical cotton piece ) which confirmed after laparatomy.
Now the Big ? how it migrate to the bladder.
The Gynecologist ( who performed both operation ) explain that the cotton piece soked with lignocane used for local aneastetic purpose at vaginal vault & left it by fogetfulness. He doesn't injury to bladder.
A lady with history of urinary incontinance & vaginal discharge sent for pelvic Us . On examination an irregular echogenic mass found within bladder. The mass gives posterior shadowing but does not moves with posture change. She had H/o vaginal hysterectomy 9 month back.
In the light of history with Us findings the case was diagnosed as Gosiphiboma ( retained surgical cotton piece ) which confirmed after laparatomy.
Now the Big ? how it migrate to the bladder.
The Gynecologist ( who performed both operation ) explain that the cotton piece soked with lignocane used for local aneastetic purpose at vaginal vault & left it by fogetfulness. He doesn't injury to bladder.
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Replies to This Discussion
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Permalink Reply by J Oscar Barahona on -
The posibility exist of portion of the packing migrated to the uretra iand in to the bladder in this patient with bladder wall weakening.
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Permalink Reply by Neaz Mahmud Haider on -
Thanks for reply & valuable comment. The cotton piece found within bladder adherent with it's wall. Upon removal there was some frank pus in a pocket at bed which was not identified during sonography. There may have weekness at bladder wall as you rightly mention it. But migration trough urethra was not as the cotton piece was the size of a rosted chiken thigh.
J Oscar Barahona said:The posibility exist of portion of the packing migrated to the uretra iand in to the bladder in this patient with bladder wall weakening. -
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Permalink Reply by Syed Amir Gilani on -
Interesting article.
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Permalink Reply by Neaz Mahmud Haider on
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Thanks for showing interest. During my postgrate course on Ultrasound I have present a Journal item Discussion on " Godiphiboma" which was Detected 40 years after gastrectomy Operation. For more detail : neazhaider@aol.com
Syed Amir Gilani said:Interesting article. -
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Permalink Reply by Neaz Mahmud Haider on
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Correction : it's Gosiphiboma
Syed Amir Gilani said:Interesting article. -
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Permalink Reply by Michael Crade on -
Just wondering, how did it migrate to the lumen of the bladder ??
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