Laparoscopic management of gossypiboma

Gossypiboma is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. We report the laparoscopic management of gossypiboma after cesarean section for placenta previa. A 29 year- old women presented with a history of emergency cesarean section for placenta previa, performed seven days ago. Abdominal computerized tomography scan showed a heterogeneous and low density mass, with peripheral calcifications. The patient was submitted to laparoscopic surgery. An aseptic plastic material was used to wrap for laparoscopic removal of gossypiboma. Minimal invasive surgery for removal of gossypiboma is successful within a few weeks after the original operation as demonstrated in our case. However, the dissection technic is difficult and depends on an experienced laparoscopic surgeon.