Intravesical Migration of a Retained Abdominal Gauze: Case Report Diagnostic Dilemma and Bridging gaps in Surgical Safety

Mohamed Mahmoud^1,5*, Zainab Osama², Abbas Mirghani³, Mogahid Mahmoud⁴

¹Department of surgery, Faculty of Medicine, University of Albutana, Rufaa, Sudan

²Third year Medical Student, University of Albutana, Rufaa, Sudan

³Department of Urology, Hasaheisa teaching Hospital, Hasaheisa, Sudan

⁴Department of surgery, Faculty of Medicine, University of Gezira, Sudan

⁵Department of surgery, Faculty of Medicine, University of Almughtaribeen, Khartoum, Sudan

*Corresponding Author Mohamed Mahmoud, Department of surgery, Faculty of Medicine, University of Albutana, Rufaa, Sudan, E-mail: labeeb20922@gmail.com

Abstract

Intravesical abdominal gauze, a retained gauze that has migrated into the urinary bladder, is an exceptionally rare but serious complication. It typically arises from chronic inflammation and erosion following abdominal or pelvic surgery. We present a 32-year lady with a one-year history of lower urinary tract symptoms. She had past history of an elective cesarean. Endoscopic removal failed, necessitating open cystotomy, which confirmed the gauze, it was successfully removed, and the patient recovered uneventfully. This case highlights the diagnostic challenges of intravesical migration of surgical gauze and preventive measures, including strict adherence to surgical safety protocols.