Intracranial cotton ball gossypiboma mimicking recurrent meningioma: Report of a case with literature review for intentional and unintentional foreign body granulomas

Peloquin, Peter; Vannemreddy, Prasad; Watkins, Latanja; Byrne, Richard W.

doi:10.1016/j.clineuro.2012.01.046

Cited by 19 publications

(13 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MRI spectroscopy has the potential to differentiate between tumor and infection/inflammation, thus it helps in selecting cases to identify a recurrent tumor from other lesions. 2 In our case, the use of advanced neuroimaging with dynamic susceptibility contrast PWI suggested transformation to a HGG but the corresponding high-grade features were not visible on the pathology specimen.…”

Section: Discussionmentioning

confidence: 53%

“…This inflammatory reaction is commonly misdiagnosed as an abscess, tumor reoccurrence, radiation necrosis, infarction, or primary neoplasm. 2 Our case shows a clinical scenario similar to a pseudoprogression phenomenon in which radiographic changes from treatments are not easy to distinguish from recurrent tumor. Pseudoprogression characterizes a well-described phenomenon in patients with high-grade gliomas (HGG) treated with radiation and chemotherapy in which radiographic changes, such as new areas of contrast enhancement and edema occur early after treatments.…”

Section: Discussionmentioning

confidence: 81%

See 1 more Smart Citation

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report

et al. 2020

View full text Add to dashboard Cite

Introduction Textiloma (Txm) is a nonmedical term that has been given to foreign body-related inflammatory pseudotumor arising from retained nonabsorbable cotton matrix that is either inadvertently or deliberately left behind during surgery, which may trigger an inflammatory reaction. This report describes a case of Txm mimicking a recurrent high-grade astrocytoma. Case Report We, here, present the case of a 69-year-old female with a 6-month history of progressive left-sided weakness. Neuroimaging studies revealed a large nonenhancing mass in the right frontoparietal lobe. Pathology reported a World Health Organization tumor classification grade II, diffuse astrocytoma. After surgical intervention, external beam radiation was given to the remaining areas of residual tumor. Routine magnetic resonance imaging (MRI) revealed a nodular area of contrast enhancement in the dorsal and inferior margin of the biopsy tract, growing between interval scans, and perfusion-weighted imaging parameters were elevated being clinically asymptomatic. She underwent a complete resection of this area of interest and pathology returned as a Txm with Surgicel fibers. Conclusion After treatment of a neoplasm, if unexpected clinical or imaging evidence of recurrence is present, a foreign body reaction to hemostatic material used during the initial surgery should be included in the differential diagnosis.

show abstract

Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 81%

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Gelatin sponges were introduced into surgical practice more than 50 years ago. Since that time granulomatous reactions to gelatin foam (Gelfoam), as well as to oxidized cellulose (Oxycel), oxidized regenerated cellulose (Surgicel), microfibrillar collagen (Avitene), or nonabsorbable materials including various forms of cotton pledgets and cloth (such as muslin), have been reported after neurosurgical operations [1,[4][5][6][7][8][9][10][11][12][13][14]. These agents are usually removed prior to surgical closure, except in the case of muslin, which is used to reinforce unclippable intracranial aneurysms [12].…”

Section: Discussionmentioning

confidence: 99%

Postoperative Textiloma Mimicking Intracranial Rebleeding in a Patient with Spontaneous Hemorrhage: Case Report and Review of the Literature

Montemurro

Murrone²,

Romanelli³

et al. 2020

Case Rep Neurol

View full text Add to dashboard Cite

During craniotomy, hemostatic materials such as oxidized cellulose and cotton pads, commonly used to control bleeding, may cause a granulomatous reaction that may produce spaceoccupying mass lesions termed textiloma (or gossypiboma). We present a 46-year-old female who underwent a right frontotemporal craniotomy and surgical removal of intraparenchymal cerebral hemorrhage, and who developed a textiloma during the postoperative period causing seizures. Granulomatous reactions due to hemostatic agents have been reported experimentally, as well as after cranial and spinal operations. We emphasize that although it is rare, an adverse reaction such as a postoperative textiloma due to hemostatic material and subsequent granuloma formation can result in a false image of rebleeding, tumor recurrence, radiation necrosis, or postoperative abscess, depending on the particular clinical history of each patient.

show abstract

“…Gossypiboma is derived from the Latin “gossypium”, the genus of cotton plant types and from boma, a Swahili word meaning “place of concealment.” This term is applied to the inflammatory response caused by the introduction of a foreign body ( 1 ). Gossypiboma has also been labeled in prior literature as textiloma, cottonoid, gauzoma, or muslinoma, which are rare conditions caused solely by iatrogenic factors.…”

Section: Introductionmentioning

confidence: 99%

Gossypiboma in the oral region: case report and literature review

Alves-de-Oliveira¹,

Pimenta-do-Amaral²,

Souto³

et al. 2014

J Clin Exp Dent

View full text Add to dashboard Cite

Gossypiboma is an inflammatory reaction to a foreign body, specifically composed of a cotton matrix left behind after surgery. The present study aims to present a case report of gossypiboma 23 years after a dental surgery and to make a literature review of the English language cases published on the issue. A 42-year-old woman was attended to evaluate complaints of pain on the right side of the maxilla. The patient reported that dental extractions in this region had been performed over a period of nearly 23 years. The panoramic radiograph demonstrated an opacity in the right maxillary sinus, which presented a spongiform aspect, irregularly shaped radiopaque image, as well as a rupture of the maxillary sinus’s lower cortical layer. A surgical excision was performed, and the histopathological diagnosis was of gossypiboma. Six similar cases have also reported of gossypiboma in the oral region; however, calcification was only identified in the present case report. The patient is currently undergoing follow-up and has presented no complaints of pain or recurrence. Key words:Gossypiboma, textiloma, muslinoma, gauzoma, oral region.

show abstract

Intracranial cotton ball gossypiboma mimicking recurrent meningioma: Report of a case with literature review for intentional and unintentional foreign body granulomas

Cited by 19 publications

References 5 publications

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report

Postoperative Textiloma Mimicking Intracranial Rebleeding in a Patient with Spontaneous Hemorrhage: Case Report and Review of the Literature

Gossypiboma in the oral region: case report and literature review

Contact Info

Product

Resources

About