Intra-abdominal cysts may arise from a variety of organs. However, for
eign-body reaction and cyst formation should be considered in the diff
erential diagnosis. In this report, we describe the finding of a preop
eratively undetected gossypiboma. A gossypiboma is a mass within the b
ody that is composed of a cotton matrix; in this case, an unmarked lap
arotomy sponge. The evaluation, findings, and prevention of gossypibom
a are discussed.