Retained surgical swab or textiloma is an infrequent but avoidable result of surgical error. The reported incidence is 1 in 1 000 to 15 000 intraabdominal surgeries. A retained surgical swab may cause serious complications and may lead to death. We present the case of a 26 year-old woman who was seen for abdominal pain. Her surgical history included a cesarean section 20 months ago. During laparotomy, a retained surgical sponge located 25 centimeters from the ileocecal valve was found and resected en bloc. Although rare in daily practice, a retained intraperitoneal swab body should be considered in patients with complex abdominal symptoms following a history of abdominal surgery.

The recurrence rate of endometrial carcinoma after surgery plus radiotherapy is low and, in most cases, it occurs within the first 3 years of treatment. The vaginal vault is the most common site of recurrence. Recurrence of endometrial cancer to the colon is very rare. We report a 69-year-old woman who presented with right iliac fossa pain, anorexia and weight loss for five months. She had a history of total abdominal hysterectomy and bilateral oophorosalpingectomy for stage IA endometrial carcinoma 7 years ago. Colonoscopy revealed a mid-sigmoid colon stricture suspicious of external compression. A CT scan did not reveal if the tumor was arising from the sigmoid colon or abutting it. During laparotomy, we found macroscopic disease involving transverse colon and small bowel mesentery with an ischemic stricture was found. Bowel resection and total omentectomy were performed leaving no res...

Pseudomyxoma peritonei is a relatively rare and poorly understood condition in which mucin accumulates within the peritoneal cavity. Classically, it is characterized by diffuse intra-abdominal gelatinous collections (“jelly belly”) with mucinous implants on peritoneal surfaces. A case of pseudomyxoma peritonei originated from a mucinous cystadenoma of the ovary is presented in a 56-year-old woman with history of hypogastric pain and abdominal distension, nausea and vomiting. Pelvic ultrasound scan revealed a solid-cystic echogenic mass arising from the right adnexa and free fluid of mixed echogenicity in the abdomen. Gynecological laparotomy, aspiration of mucinous fluid and hysterectomy were performed revealing mucinous cystadenoma of the ovary and mucoid peritoneal fluid compatible with pseudomyxoma peritonei.