A Case of Gossypiboma Masquerading as a Gastrointestinal Stromal Tumor

Cheon, Jong Woon; Kim, Eun Young; Kim, Ki-Yong; Park, Jae Bum; Shin, Young Kook; Kim, Ka Young; Chae, Hyun Dong

doi:10.5946/ce.2011.44.1.51

Cited by 8 publications

(6 citation statements)

References 8 publications

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“…[1] Gossypiboma involves a wavy hyperechoic area and intense posterior acoustic shadowing on the ultrasound. [12] Contrast-enhanced computed tomography (CT) scan is typical for a lesion with properly limited mass, thick-walled mass with curvilinear hypodense and hyperdense areas. [13] Soft tissue sensitivity can be used for MRI (magnetic resonance imaging) because of its high sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal Of Gastric Penetration Of Gossypibom

Şentürk¹,

Vatansev²,

Belviranlı³

et al. 2019

Laparosc Endosc Surg Sci

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Retained surgical material is a potentially dangerous medico-legal problem. Gossypiboma may cause abscess-like complications in the early postoperative period, as well as a long-term asymptomatic pseudotumor. The preoperative diagnosis may be difficult. Presently described is a case that mimicked an intra-abdominal malignancy that had created a fistula in the stomach. A 54-year-old man presented with a history of laparoscopic cholecystectomy performed 1 year prior. Subsequent continued pain and swelling in the epigastric region led the patient to seek care at several health institutions. The patient brought abdominal tomography results from one of these presentations revealing a heterogeneous, high-density mass 5x4x5 cm in size located between the liver and the stomach. Gastroscopy revealed a foreign body near the pylorus at the level of the gastric antrum. The tomography image revealed that the mass was a gossypiboma and had penetrated the pylorus. The foreign body was removed endoscopically in 5 parts with the help of endoscopic forceps and a snare. The postoperative recovery was uneventful. Gossypiboma should be included in the differential diagnosis of tumoral masses detected in patients with a surgical history. Gossypiboma with gastric fistulization can be removed endoscopically.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Removal Of Gastric Penetration Of Gossypibom

Şentürk¹,

Vatansev²,

Belviranlı³

et al. 2019

Laparosc Endosc Surg Sci

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“…To confuse a textiloma with a tumor is not an exceptional situation, particularly with other imaging modalities. Advantageously, the presence of a pure distal acoustic shadow, as systematically reported in the ultrasound literature, strongly supports the diagnosis of textiloma.…”

Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis—ultrasound Uncommon Features of an Abdominal Gossypiboma in a Dog

Louvet

Duconseille

2016

Vet Radiology Ultrasound

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An abdominal mass was incidentally detected in a 12-year-old, neutered female, crossed breed dog. Abdominal ultrasonographic examination showed a well-delineated, irregular, heterogeneous mass that did not generate any distal acoustic shadowing. Transcutaneous US-guided biopsy of the mass were nonconclusive but raised the possibility of neoplasia. Surgery discovered a mass embedded in the omentum and a large quantity of surgical sponges were identified in cut section. To the authors' knowledge, this represents the first published case of gossypiboma casting no characteristic distal acoustic shadowing.

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“…In clinical practice, abdominal foreign bodies become fiber-wrapped due to inflammation caused by the formation of lumps, and misdiagnosis is not uncommon [ 10 ]. Items such as legacy gauze [ 11 ], surgical sutures [ 12 ], and fish and chicken bones penetrating into the abdominal cavity [ 13 , 14 ] have formed tumors.…”

Section: Discussionmentioning

confidence: 99%

Fluorouracil implants caused a diaphragmatic tumor to be misdiagnosed as liver metastasis: a case report

et al. 2016

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BackgroundFluorouracil implants are widely used in peritoneal interstitial chemotherapy. Curative effects have been obtained, but implants have also caused some complications.Case presentationWe performed an analysis of a 66-year-old male patient’s case history, as well as conventional pathological analysis and Raman spectroscopic detection of the diaphragmatic tumor. We also analyzed the underlying causes of this condition to prevent complications and reduce misdiagnoses in future cases. The patient had a history of peritoneal fluorouracil implantation. Pathological analysis of the diaphragmatic mass revealed foreign particles, and Raman detection showed that the mass contained fluorouracil.ConclusionFluorouracil implants may persist due to the high concentrations of this drug used in peritoneal chemotherapy. This finding should provide guidance and improve the application of peritoneal implants. In clinical trials, and the diagnosis of liver metastasis should be based on pathological results.

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A Case of Gossypiboma Masquerading as a Gastrointestinal Stromal Tumor

Cited by 8 publications

References 8 publications

Endoscopic Removal Of Gastric Penetration Of Gossypibom

Endoscopic Removal Of Gastric Penetration Of Gossypibom

Imaging Diagnosis—ultrasound Uncommon Features of an Abdominal Gossypiboma in a Dog

Fluorouracil implants caused a diaphragmatic tumor to be misdiagnosed as liver metastasis: a case report

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