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

Atabey, Cem; Turğut, Mehmet; Ilıca, Ahmet Turan

doi:10.4103/0028-3886.53289

Cited by 19 publications

(9 citation statements)

References 9 publications

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“…After surgery, the body can react to foreign bodies such as retained sponges in two ways: (1) exudative tissue reaction which leads to acute abscess formation, and (2) aseptic fibrous tissue reaction, which involves slow adhesion formation such as encapsulation and granuloma formation [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Textiloma (gossypiboma) mimicking recurrent intracranial abscess

2015

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IntroductionCranial-retained surgical sponges (gossypiboma or textiloma) are rare incidents and mostly asymptomatic. However, they can be confused with other masses such as a hematoma abscess or tumor. During early stages, some gossypibomas can cause infection or abscess formation.Case presentationA 22-year-old Turkish female who had frontal lobe brain surgery to remove an abscess 2 months previously was admitted with complaints of headache and vomiting.ConclusionGossypiboma was confirmed in the patient. Following cranial surgery, gossypiboma should be considered as a differential diagnosis of recurrence of previous surgical operations.

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Section: Discussionmentioning

confidence: 99%

Textiloma (gossypiboma) mimicking recurrent intracranial abscess

2015

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“…These osteolytic changes with marginal sclerosis may be evidence of the benign nature of the lesion and may be specific for gossypiboma around the lamina. MRI usually shows a well-defined mass with a fibrous capsule that exhibits low-signal intensity on T1-weighted imaging and high-signal intensity on T2-weighted imaging within the centre of the lesion and low-signal intensity mimicking a paraspinal abscess [2,4-7,9,10]. Only three cases were heterogeneous on T2-weighted imaging [1,3,8].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma 19 years after laminectomy mimicking a malignant spinal tumour: a case report

Kobayashi¹,

Miyakoshi

Abe³

et al. 2014

J Med Case Reports

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IntroductionGossypiboma is rare and mostly asymptomatic in chronic cases. It can be confused with other soft tissue masses.Case presentationOur patient was an 87-year-old Japanese man with a history of surgery for a lumbar lesion causing lumbar canal stenosis 19 years earlier. Computed tomography showed a soft tissue mass with osteolysis and periosteal thickening of the vertebral lamina. On magnetic resonance imaging, the mass showed heterogeneous signal intensity on T2-weighted imaging, suggesting a malignancy. At the time of biopsy, small pieces of retained surgical sponge were collected. Surgical treatment was performed to excise the soft tissue tumour.ConclusionsGossypiboma should be included in the differential diagnosis of soft tissue masses in the paraspinal region in patients with a history of previous spinal surgery.

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“…Without the marker, as shown in the present case, the level of difficulty in making the diagnosis of gossypiboma skyrockets. In addition, only approximately 50 cases have been reported in the paraspinal location1246791315), and most of the literature has described varying radiologic features in these cases. However, there are some salient radiologic features that can be used to diagnose a gossypiboma.…”

Section: Discussionmentioning

confidence: 99%

“…Most reports have demonstrated that the clinical symptoms associated with gossypibomas were well treated by complete removal of the masses12479121315). However, the clinical symptoms associated with gossypibomas may not be prominent, especially in chronic gossypibomas.…”

Section: Discussionmentioning

confidence: 99%

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A 20-Year-Old Retained Surgical Gauze Mimicking a Spinal Tumor: A Case Report

Lee

Kim

et al. 2016

Korean J Spine

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A 79-year-old man visited our clinic complaining of lower back and left leg radiating pain that began 1 month prior to his presentation. He underwent surgery for lumbar disc herniation 20 years ago at another hospital. Magnetic resonance imaging revealed left-sided foraminal stenosis at L4-5. In addition, a paraspinal mass occupying the L4 spinous process and left lamina was observed. We subsequently performed an L4-5 decompression and fusion. During the operation, retained surgical gauze with granulation tissue was found. The term gossypiboma is used to define a mass lesion consisting of retained surgical gauzes and an adjacent foreign body reaction. Gossypibomas are uncommon in the paraspinal area and are mostly asymptomatic in chronic cases. Because there are no specific clinical or radiological signs, they can be confused with other tumorous conditions. Gossypibomas should be included in the differential diagnosis of paraspinal soft-tissue masses detected in patients with a history of prior spinal surgery.

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

Abstract: Retained paravertebral surgical sponges are seldom reported due to medicolegal implications. Awareness of this complication among neurosurgeons and radiologists is essential to avoid unnecessary morbidity.

Cited by 19 publications

References 9 publications

Textiloma (gossypiboma) mimicking recurrent intracranial abscess

Textiloma (gossypiboma) mimicking recurrent intracranial abscess

Gossypiboma 19 years after laminectomy mimicking a malignant spinal tumour: a case report

A 20-Year-Old Retained Surgical Gauze Mimicking a Spinal Tumor: A Case Report

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