%0 Journal Article %T Gossypiboma, the Never Event; a Case Report %A Noran A. Sultan %A Ismael Mansori %A Hamed A. Mawlawi %J Open Journal of Emergency Medicine %P 80-86 %@ 2332-1814 %D 2023 %I Scientific Research Publishing %R 10.4236/ojem.2023.113009 %X Introduction and importance: In the surgical field, we utilize gauze and surgical instruments daily, and the complications can be divided into avoidable versus nonavoidable. The term Gossypioma in the literature indicates a retained surgical sponge or gauze. It can be there for years and be dormant or discovered within days as the patient starts to reveal symptoms. This makes diagnosing challenging pre-operatively as the radiological findings might not be as specific. Case presentation: A 75 male Moroccan patient with Normal Body mass index, Medically free. His main complaint was Abdominal pain in the epigastric area. His past surgical history was positive for a left open inguinal hernia repair with mesh three months ago that went uneventfully And an open appendectomy before 20 years. The Abdomen X-ray: multiple air-fluid levels with dilated small bowel as well as perfectly rounded calcifications at the right lower quadrant. Conclusion: It¡¯s a devastating medical error, but it can be avoidable. Communication between the surgical team and operation staff is a crucial and straightforward tactic to prevent these complications. As the sequel will reveal itself at any time and the patient will pay the price. %K Gossypiboma %K Retained Foreign Body %K Surgical Sponge %K Small Bowel Obstruction %K Surgical Gauze %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=127602