PMC7365772_01
10 cm x 15 cm cystic mass as Gossypiboma.
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First operating 5.5 mm trocar was inserted in left lumbar quadrant and upon careful adhesiolysis of greater omentum from the scar and reduction of contents under vision, from umbilical hernia, a single large cystic mass of 15 cm x 10 cm was found within the gastrocolic omentum which was abutting the stomach and transverse colon (Fig. 1).
Cut open specimen of Gossypiboma with two surgical sponges and pus.
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However, during extraction of the bag there was accidental rupture of the cystic mass to reveal 70-80 ml of thick pus and two gauze sponges of size 10 x 10 cm each (Fig. 2).
Laparoscopic Cholecystectomy specimen with gall stone.
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Subsequently operating surgeon standing between split legs, telescope was moved to umbilical trocar and with standard third, 10 mm epigastric trocar, and fourth and fifth, 5.5 mm trocars at right mid clavicular and anterior axillary lines respectively uneventful laparoscopic cholecystectomy was completed (Fig. 3).
Cut section of Gossypiboma having 1 cm thick cyst wall with two surgical gauze sponges.
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The specimens were sent for histopathological and gauze sponges for forensic evaluation and pus was sent for culture respectively (Fig. 4).