A Pictorial Review of the Many Faces of Gossypiboma – Observations in 6 Cases

Abstract

SummaryGossypiboma or textiloma is the result of a foreign-body reaction to extraneous material, usually a surgical sponge that was accidentally retained within the body.The diagnosis of a retained surgical sponge is often delayed due to its infrequent occurrence and protean appearances.The purpose of this pictorial review is to define the common sonographic and CT features of gossypiboma. A retrospective review of sonographic and CT images of 6 surgically proven cases of retained surgical sponges was undertaken.

Endometriosis of Postoperative Scar

“…It is also possible to face with a rare condition-the so-called gossipiboma. It is a foreign body-related inflammatory pseudotumor caused by retained non-resorbable or partially resorbable substances [10]. We observed a patient with cutaneous fistula, as casuistically it is possible to give an example of unusual clinical situation of a patient with an endometriotic uterocutaneous fistula.…”

Textiloma in leg – A Diagnostic Quandary

“…The reported incidence of gossypiboma varies from one per 300-1000 for all the surgical procedures [3].This is probably an underestimate due to underreporting because of medico legal consequences. Most of such cases are reported in the abdominal cavity but the chest, the extremity and the cranial cavity have also been reported [4]. We report one such case in the leg.…”

Transmurally migrated gossypiboma rarely posing as surgical site infection: a case report and review of literature

“…The longer the retention time, the higher the risk of secondary infections and fistula formation. 12 The presenting symptom varies widely depending upon the location, size of retained foreign body, and the type of reaction that occurred. Early presenting complaint is usually pain with or without feeling of lump or it may even remain asymptomatic for a long time with only vague symptoms.…”