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A 50 year-old man presented to the emergency department due to abdominal pain. The patient had gastric cancer with regional lymph node involvement. He had had a gasterectomy eight months prior, with several courses of chemotherapy. His history was also significant for his mother’s gastric cancer. The patients complained of dull pain mainly in the left upper quadrant without radiation and no aggravating or relieving factors. The pain had been present since the surgery, with no significant increase or decrease. On the radiography, there was a radiopaque shadow of a probable foreign body under the left hemidiaphragm, mostly consistent with a surgical sponge (Figure 1). The patient underwent another operation for surgical sponge removal. He had no complication during followup, and later resumed chemotherapy. Gossypiboma derives from the Latin word gossypium, meaning cotton, and the Swahili word …