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AN UNUSUAL ABDOMINAL MASS: CASE REPORT
Abstract
The causes of intra-abdominal masses associated with chronic abdominal pain range from the
benign to malignant; common to bizarre and some raise major medical-legal issues. We present
a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with
an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to
presentation. Antecedent history of surgery and typical imaging features enabled a preoperative
diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility
of the men and women in the operating theatres and the vital role of correct instrument and sponge
counts.
benign to malignant; common to bizarre and some raise major medical-legal issues. We present
a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with
an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to
presentation. Antecedent history of surgery and typical imaging features enabled a preoperative
diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility
of the men and women in the operating theatres and the vital role of correct instrument and sponge
counts.
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