MRI features of neurosurgical gossypiboma: report of two cases

Mathew, John; Rajshekhar, Vedantam; Chandy, Mathew J.

doi:10.1007/bf00607280

Cited by 34 publications

(23 citation statements)

References 5 publications

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“…Granulomas appear hypointense on T1-weighted and hyperintense on T2-weighted MRI images. If the lesion has capsule formation, it appears hypointense on both T1-and T2-weighted images (17)(18)(19)(20)(21). Textilomas may show an enhanced hyperintense rim around the hypointense centre after contrast medium administration.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2013

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Section: Discussionmentioning

confidence: 99%

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

et al. 2013

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“…), corticosteroid drugs, and spinal instrumentation. 2,3,[5][6][7][8][9][10][11][12][13][14][15][16] Treatment of spinal abscess caused by retained surgical sponges consists of early diagnosis, surgical removal, and appropriate antibiotic treatment if necessary. However, we believe that the presence of foreign material as a nidus for infection precludes successful treatment of a spinal infection.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] A review of the literature concerning retained sponge following spinal surgery found only nine reports. 3,5,7,11,12,14,15) The incidence was reported as 0.7 per 10,000 patients but probably underestimates the actual incidence.…”

Section: Introductionmentioning

confidence: 99%

Sponge-Induced Granuloma ("Gauzoma") as a Complication of Posterior Lumbar Surgery-Case Report-

Turğut

Akyüz

Özsunar

et al. 2005

Neurol. Med. Chir.(Tokyo)

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A 45-year-old woman presented with complaints of low back pain and sciatica on the left persisting for 2 years. She had undergone left hemilaminectomy and discectomy for L4-5 intervertebral disc herniation at another medical center. Spinal computed tomography and magnetic resonance (MR) imaging revealed a mass lesion in the posterior paravertebral region. The mass was hypointense with ring enhancement on the T 1 -weighted images and hyperintense on the T 2 -weighted images. Surgery found a retained sponge within the paraspinal mass cavity which was removed totally. Foreign-body granuloma (``gauzoma'') induced by forgotten sponge material is not an unusual complication of posterior lumbar surgery and should be considered as a potential cause in cases of surgical wound infections. MR imaging is essential to achieve the correct differential diagnosis.

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“…Although the real incidence is unknown, it has been reported to be one in 3,000 to one in 5,000 cases of abdominal operations [1,2]. It has been reported to occur following surgical procedures such as abdominal, thoracic, cardiovascular, orthopedic, and even neurosurgical operations [3][4][5]. Because the symptoms of gossypiboma are usually nonspecific and may appear years after surgery, the diagnosis of gossypiboma may be difficult.…”

Section: Introductionmentioning

confidence: 99%

Gossypiboma mimicking a distal pancreatic mass: Report of a case

et al. 2010

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AbstractGossypiboma (retained surgical sponge) is a pseudotumor within the body that is composed of non-absorbable surgical material with a cotton matrix. Because the symptoms of gossypiboma usually are nonspecific and may appear years after surgery, the diagnosis of gossypiboma may be difficult because the condition may mimic a benign or malignant soft-tissue tumour in the abdomen and pelvis. A 61-year-old woman with a one-year history of left upper-quadrant pain and weight loss was referred to our center. She had undergone peptic ulcer perforation 23 year ago. Physical examination revealed dullness and palpable mass in the left upper abdomen. On examination by computed tomography (CT), a hypodense mass of 12 cm in diameter between the greater curvature of the stomach, pancreas, and splenic hilus was detected. Upon exploration, a mass lesion of 10 cm in diameter was detected between the greater curvature of the stomach and splenic hilus, which caused dense adhesions not in communication with the pancreas. It was excised and a splenectomy was performed. After a macroscopic examination, the mass lesion was diagnosed as gossypiboma. Although ultrasonography (US), CT, angiography, and magnetic resonance imaging (MRI) may be used to diagnose gossypiboma, definitive diagnosis is possibile only upon surgery or histopathological examination. As a result, when an abdominal mass is observed, surgeons should carefully investigate the patient’s past surgical history while taking the possibility of gossypiboma into consideration.

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MRI features of neurosurgical gossypiboma: report of two cases

Abstract: Retained surgical sponge is an uncommon complication in neurosurgical practice. We report two patients with retained surgical gauze and describe the clinical presentation and the characteristics of the foreign body on MRI.

Cited by 34 publications

References 5 publications

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

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

Sponge-Induced Granuloma ("Gauzoma") as a Complication of Posterior Lumbar Surgery-Case Report-

Gossypiboma mimicking a distal pancreatic mass: Report of a case

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