Gossypiboma and small bowel obstruction

A small bowel dilatation with content-faecalisation proximal to a transitional zone (that didn't change in consecutive study phases denoting that it is likely not a peristaltic constriction) adjacent to an extraluminal lesion suggests an extraluminal mechanical small bowel obstruction, associated with variable fecal and gas-containing colon down to the rectum that is in keeping with proximal bowel obstruction sparing the large bowel.

Multi-curved linear/stripe-like metallic density mainlywith some streak artifacts (that could result from a metallic or concentrated radio-opaque contrast material) mainly represents a foreign hyper-dense material (which could be a metallic instrument or the radio-opaque stripe that's usually texuredtextured-in the surgical gooses) and, along with its presence within the heterogeneous sponge-shaped density lesion (well defined irregularly shaped thick and hyper-dense-walled  heterogeneous mainly hypo-dense (of fluid density) lesion with scattered foci of air-density), and a recent surgery followed by the presenting clinical features are all suggestive of a gossybipomagossypiboma (a surgically (iatrogenically) missed intra-abdominal surgical texture (e.g., goose or cotton).

A thick-wall enhanced lesion containing fluid-dense collection between a transverse surgical scar (of recent ceserian section) at the lower anterior abdominal wall and the recent pregnancy-compatible bulky uterus is likely representinga surgical abscess.

In summary, features are suggestive of gossybipomagossypiboma (with or without a metallic foreign body) causing exogenousextraluminal mechanical small bowel obstruction, along with an abscess at surgery site, mandating a multiple management milestones including surgical treatment that was done and confirmed a missed surgical goose (without metallic foreign body) within infection collection, a surgical abscess, and a regressed small bowel obstruction after the gossybipomagossypiboma removal.