2017
DOI: 10.1080/01676830.2017.1383455
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Intraconal gauze mass: An unusual complication of orbital fracture repair – a case report

Abstract: Gossypiboma and textiloma are terms used to describe tumor-like masses caused by retained gauze or surgical sponges after any operation. It is a rare surgical complication, usually difficult to diagnose due to its variable clinical presentation and nonstandard radiological appearance. We describe here a rare case of orbital gossypiboma in a child after surgical correction of an orbital blowout fracture.

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“… 26 Suture, gauze fragments, and other surgical debris have been implicated in orbital mass lesions in people, but histopathology from those lesions is usually characterized by the presence of giant cells and classical granulomas, both of which were lacking in this patient. 27 , 28 , 29 , 30 While no foreign material was evident either grossly or microscopically, it is still possible that gauze fibers, resorbing polyglactin suture, or debris associated with the implant were present and were not captured during sectioning or were lost when the implant was extruded.…”
Section: Discussionmentioning
confidence: 99%
“… 26 Suture, gauze fragments, and other surgical debris have been implicated in orbital mass lesions in people, but histopathology from those lesions is usually characterized by the presence of giant cells and classical granulomas, both of which were lacking in this patient. 27 , 28 , 29 , 30 While no foreign material was evident either grossly or microscopically, it is still possible that gauze fibers, resorbing polyglactin suture, or debris associated with the implant were present and were not captured during sectioning or were lost when the implant was extruded.…”
Section: Discussionmentioning
confidence: 99%