Retention of surgical items is a preventable complication. The foreign body may be symptomless or migrate in and around the abdomen causing fistula formation, bowel obstruction and perforation. Some major causes responsible for this complication are emergency, prolonged, difficult surgeries associated with obesity, poor communication with an error in sponge and instrument counting. Frequency being 1/1000 to 1/32672 surgeries in the recent review of the literature. Definitive treatment for this condition is surgical removal either by laparotomy or laparoscopically. We report a case whose cesarean section was done in a secondary care hospital for brow presentation and later referred to us after two months with complaints of pain and swelling in the abdomen. Entrapment of a surgical sponge in the preperitoneal space of the abdomen was noted and later removed surgically. This case highlights the need for all health care professionals to be vigilant and cautious intraoperatively as any lapse in mop and instrument counting may be disastrous for both the patient as well as the healthcare team. There is a growing need for patient safety hospital initiation to avoid such errors by surgical teams. The aim of presenting and reporting this case is to increase awareness among healthcare workers to avoid such lapses causing great medical morbidity with medicolegal complications.