Case Report
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2005; 11(8): 1248-1249
Published online Feb 28, 2005. doi: 10.3748/wjg.v11.i8.1248
Report of gossypiboma from the standpoint in medicine and law
Li-Rung Shyung, Wen-Hsiung Chang, Shee-Chan Lin, Shou-Chuan Shih, Chin-Roa Kao, Sun-Yen Chou
Li-Rung Shyung, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Mackay Junior College of Nursing, Taipei, Taiwan, China; L.L.B., Department of Law, National Taiwan University, China
Wen-Hsiung Chang, Shee-Chan Lin, Shou-Chuan Shih, Chin-Roa Kao, Sun-Yen Chou, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Mackay Junior College of Nursing, Taipei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Wen-Hsiung Chang, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan North Road, Taipei 104, Taiwan, China. luke.skywalk@msa.hinet.net
Telephone: +886-914042363
Received: July 12, 2004
Revised: July 14, 2004
Accepted: August 31, 2004
Published online: February 28, 2005
Abstract

We report on a case of gossypiboma. A 78-year-old man was admitted to our hospital with acute abdomen. He had undergone an operation for colon cancer 4 mo previously. Abdominal ultrasonography revealed an echogenic lesion with a hypoechoic rim and strong posterior acoustic shadowing in the lower abdomen. Diagnosis of gossypiboma can be made by ultrasonography to avoid loss-of-chance of survival. We reviewed the English literature briefly of gossypiboma from the medical and juridical view. According to the theory of loss-of-chance, the damage of plaintiff is the loss of the chance of survival or recovery, rather than the final harm. The victim would allow recovery for the loss of the chance from the defendant. But the plaintiff would show by a preponderance that he was deprived of a betterchance of a cure. Under the proposed rule, the compensable value of the victim would be the plaintiff’s compensation for the loss of the victim’s chance of survival.

Keywords: Gossypiboma; Loss-of-chance; Preponderance