Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign bodyreaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 3 yrs after the first surgery andpresented as lower abdominal pain. CT scan revealed a soft tissue mass of heterogeneous density containing solid and cysticcomponents with areas of necrosis in the pelvis, most likely of ovarian origin. Explorative laparatomyrevealed a well localized thickwalled pelvic mass with few adhesions around, separated easily and removed in Toto. The patient was discharged withoutcomplication. This case was presented to point to retained foreign body (RFB) complications and we believed that the possibility of aretained foreign body should be considered in the differential diagnosis of who had previous surgery and complained of pain,infection, or palpable mass.
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