George Hadjidekov, Dayana Yankova, Maria Yankova and Dorina Asenova

Foreign-body material such as surgical sponge, accidentally retained in the human body, is termed gossypibomaor textiloma. This may result in foreign-body reaction with severe surgical complications if left unknown. Computed tomography (CT) and ultrasound (US) are preferred methods for detection of gossypibomas. The radiologic features on CT are characteristic whatever in any location – spongiform mass with gas bubbles, low-density mass with a thin enhancing capsule and calcified depositions along the network architecture of a surgical sponge. US also provides a typical appearance of hypoechoic or anechoic mass with distal loss of signal. Surgical removal is mandatory considering the amount of possible complications. We present a case of rare localization of asymptomatic intrauterine gossypiboma and discuss the common US and CT features of this infrequent entity.