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Case of the Week 283 
What's the most likely diagnosis?
- 49 year-old in recovery room following abdominal surgery
- Post-operative ileus
- Free air
- Pelvic fracture
- Retained lap sponge
- Small bowel obstruction
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Answer:
4. Retained lap sponge
More (Click Discussion Tab)
Retained Lap Sponge
General Considerations
- Retained surgical sponges are an uncommon event
- Medical term for a retained sponge is gossypiboma
- From Latin gossypium, for cotton, and
- Swahili boma, for place of concealment
- Surgical sponges are used for
- Removing excess fluid from the field
- Packing
- Retraction
- Dissection
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