Seger et al: Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases
Veterinary Surgery 1, 2026

Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases

🔍 Key Findings

  • Intra-abdominal gossypibomas were most common, with 20/21 cases located within the abdominal cavity.
  • Most cases (11/21) resulted from ovariohysterectomy, highlighting this as a common inciting surgery.
  • Time to presentation varied, with median of 13.5 days and signs like pyrexia, abdominal pain, and anorexia being common.
  • Only 4/21 cases had perioperative sponge counts reported, indicating poor compliance with surgical safety protocols.
  • Radiographic indicators were often absent, complicating imaging-based detection.
  • Urgent reoperation was needed in nearly half (10/21) of the animals, emphasizing the acute presentation and need for rapid surgical intervention.
  • Postoperative complications occurred in 4/21 animals, including sepsis, SIRS, and incontinence; 2 did not survive to discharge.
  • Overall prognosis was favorable, with 19/21 animals surviving to discharge and 15 reported as doing well at 2-week follow-up.

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Seger et al: Presentation, diagnosis, and management of gossypibomas in veterinary specialty hospitals: A multi-institutional study of 21 cases
Veterinary Surgery 1, 2026

🔍 Key Findings

  • Intra-abdominal gossypibomas were most common, with 20/21 cases located within the abdominal cavity.
  • Most cases (11/21) resulted from ovariohysterectomy, highlighting this as a common inciting surgery.
  • Time to presentation varied, with median of 13.5 days and signs like pyrexia, abdominal pain, and anorexia being common.
  • Only 4/21 cases had perioperative sponge counts reported, indicating poor compliance with surgical safety protocols.
  • Radiographic indicators were often absent, complicating imaging-based detection.
  • Urgent reoperation was needed in nearly half (10/21) of the animals, emphasizing the acute presentation and need for rapid surgical intervention.
  • Postoperative complications occurred in 4/21 animals, including sepsis, SIRS, and incontinence; 2 did not survive to discharge.
  • Overall prognosis was favorable, with 19/21 animals surviving to discharge and 15 reported as doing well at 2-week follow-up.

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Multiple Choice Questions on this study

In Seger 2026 et al., on gossypiboma outcomes, which factor was most often missing during the initial surgery contributing to sponge retention?

A. Perioperative sponge count
B. Radiopaque markers
C. Post-op radiographs
D. Board-certified surgeon
E. Patient ID error

Answer: Perioperative sponge count

Explanation: Only 4 of 21 cases reported perioperative sponge counts; lack of this practice is a known risk factor for gossypiboma.
In Seger 2026 et al., on gossypiboma outcomes, what percentage of animals underwent urgent secondary surgery?

A. Approximately 48%
B. About 20%
C. Over 80%
D. Only 10%
E. None underwent urgent surgery

Answer: Approximately 48%

Explanation: 10 of 21 animals had urgent reoperation due to deteriorating clinical condition.
In Seger 2026 et al., on gossypiboma outcomes, which of the following was the most frequently observed clinical sign at re-presentation?

A. Pyrexia
B. Vomiting
C. Abdominal mass
D. Icterus
E. Weakness

Answer: Pyrexia

Explanation: Pyrexia was reported in 10 of 21 cases, more frequent than any other presenting sign.
In Seger 2026 et al., on gossypiboma outcomes, what was the most common surgical procedure leading to gossypiboma formation?

A. Ovariohysterectomy (OVH)
B. Enterotomy
C. Cystotomy
D. Partial gastrectomy
E. Cholecystectomy

Answer: Ovariohysterectomy (OVH)

Explanation: OVH accounted for 11 of 21 cases, making it the most common inciting surgery.
In Seger 2026 et al., on gossypiboma outcomes, which diagnostic modality was most commonly used to detect gossypibomas?

A. Abdominal ultrasound
B. Thoracic radiographs
C. CT scan
D. Exploratory laparotomy
E. Post-op radiographs

Answer: Abdominal ultrasound

Explanation: Ultrasound was used in 14 cases, more than any other modality, and often revealed heterogeneous abdominal masses.

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