A 13-year-old textiloma (gossypiboma) after discectomy for lumbar disc herniation: a case report and review of the literature

Spinal Textiloma (Gossypiboma): A Report of Three Cases Misdiagnosed as Tumour

“…Kuwashima et al have published MRI findings of two textiloma cases. The authors concluded that the surgical textile products contained serosanguineous fluid and high protein concentrations (8,15,(22)(23)(24)(25)(26)(27). MRI showed the laminectomy defect at L5 (Case 1 and Case 3) and at L3-4-5 (Case 2) and a mass lesion in the posterior paraspinal region at these levels.…”

Retained surgical sponge in differential diagnosis of paraspinal soft-tissue mass after posterior spinal surgery: Report of eight cases

“…[6][7][8] As exemplified in Case 2 of our series, it may lead to misdiagnosis of hematoma formation. Thus, gossypiboma should be included in the differential diagnosis of any appearance like paravertebral hematoma in postoperative period.…”

“…In case of gossypiboma there is marked enhancement in postcontrast scans. [6][7][8] Retained paravertebral surgical sponges appear hypointense on T1-weighted and hyperintense on T2-weighted images. [4] Paravertebral mass may have intermediate signal intensity on T1-weighted images, possibly due to the age of the gossypiboma, as seen in Case 8.…”

“…[4] However, there are few reports dealing with retained paravertebral surgical sponges in the literature. [1,[4][5][6][7][8][9][10][11][12][13][14][15][16] This article reports clinical and radiological findings in eight patients with gossypiboma in the paraspinal…”

An Unusual Cause of Low Back Pain

“…Textiloma is defined as a tumor composed of cotton matrix or synthetic fibers surrounded by granulomatous reactions resulting from forgotten surgical gauzes 1 . Cotton gauzes are commonly used to achieve hemostasis during surgical procedures, such as dissection for discus herniation 2 .…”