A person undergone appendisectomy. On post op day 10 he died, postmortem patholigst found gossypiboma. It is a case of –
**Core Concept**
Gossypiboma, also known as a textiloma or a retained surgical sponge, is a rare but potentially life-threatening complication of surgery. It occurs when a surgical sponge, gauze, or other medical instrument is left inside a patient's body during surgery, often leading to infection, abscess formation, and other serious consequences.
**Why the Correct Answer is Right**
In this case, the patient underwent an appendisectomy and died 10 days post-operatively. The postmortem findings revealed a gossypiboma, indicating that a surgical sponge or gauze was left inside the patient's body during the surgery. This is a classic example of a gossypiboma, which can occur due to human error, inadequate counting of surgical instruments, or inadequate inspection of the surgical site.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not relate to the specific complication of a retained surgical sponge.
**Option B:** This option is incorrect because it does not accurately describe the situation, which is a clear case of a gossypiboma.
**Clinical Pearl / High-Yield Fact**
To prevent gossypiboma, surgeons and surgical teams must adhere to strict protocol, including counting surgical instruments before and after surgery, using radiopaque markers on sponges, and having a second person verify the completeness of the surgical site.
**Correct Answer:** D.