Imaging of Gossypibomas: <i>Pictorial Review</i>

Manzella, Adonis; Filho, Paulo Borba; Albuquerque, Eolo; Farias, Fabiana; Kaercher, João

doi:10.2214/ajr.07.7132

Cited by 163 publications

(193 citation statements)

References 36 publications

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“…In this type of reaction, the clinical course is usually occult and patients remain asymptomatic. The second type, typically presenting in the early postoperative period, is characterized by an infl ammatory process with potential secondary bacterial contamination and abscess or fi stula formation [1].…”

Section: Discussionmentioning

confidence: 99%

“…A whirl-like pattern consisting of multiple curvilinear hyperdense bands together with air bubbles is the most specifi c CT sign [13,14]. Calcifi cation of the mass or a reticulate ring sign may also be visualized [1]. On later stages, the appearance mostly resembles that of a solid mass due to the resorption of the trapped amount of air [15].…”

Section: Discussionmentioning

confidence: 99%

“…Textiloma or gossypiboma represents a mass-like lesion, formed around accidentally retained cotton or synthetic fi bers in the body, usually during open surgical procedures [1]. They are most commonly intra-abdominally found; however, plenty of cases of textilomas are found to be located also in the thoracic area [2], in the thigh [3], the central nervous system [4], and the breast [5].…”

Section: Introductionmentioning

confidence: 99%

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Textiloma formation post endovascular repair of abdominal aortic aneurysm

Hatzidakis¹,

Vassalou²,

Touloupakis³

et al. 2015

Interventional Medicine and Applied Science

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Abstract:We report a case of an 80-year-old man, who underwent an endovascular repair of an abdominal aortic aneurysm. Surgical access was obtained from both common femoral arteries, and the procedure was uneventful. One month computed tomography (CT) follow-up was without fi ndings. Two months after endovascular aortic aneurysm repair (EVAR), the patient complained of claudication on the left side associated with persistent pain, rigid swelling on the left groin area, and occasional febrile episodes within the last month. Ultrasonography showed fl uid collection, and needle aspiration gained pus. It was thought to be local postsurgical infection, and the patient got antibiotics, but he did worse. One month later, computed tomography revealed focal left common femoral artery (CFA) stenosis, edematous appearance of subcutaneous soft tissue in the left groin area, and anterior displacement of the ipsilateral CFA in relation to the right side. Surgical exploration of the region revealed retained, uncapsuled, and partially destroyed surgical gauze, lying just behind the left CFA, which was removed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Textiloma formation post endovascular repair of abdominal aortic aneurysm

Hatzidakis¹,

Vassalou²,

Touloupakis³

et al. 2015

Interventional Medicine and Applied Science

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“…2,3 It is derived from 2 words-the Latin word ''gossypium'' meaning cotton, and the Swahili word ''boma'' meaning place of concealment. [2][3][4] The first case of a gossypiboma was reported by Wilson in 1884. 2 The most commonly retained foreign body is the surgical sponge.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] The first case of a gossypiboma was reported by Wilson in 1884. 2 The most commonly retained foreign body is the surgical sponge. 5 Retention of surgical sponges in the abdomen or pelvis has been reported to occur with a frequency of 1 in 100 to 5000 of all surgical interventions and 1 in 1000 to 1500 of intraabdominal operations.…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma Presenting as Coloduodenal Fistula – Report of a Rare Case With Review of Literature

Sistla

Ananthakrishnan

Karthikeyan

et al. 2014

International Surgery

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The term gossypiboma is used to describe a mass of cotton matrix left behind in a body cavity intraoperatively. The most common site reported is the abdominal cavity. It can present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37-year-old woman presented with pain in the right hypochondrium for 2 months following open cholecystectomy. As she did not improve with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was done, which showed a possible gauze piece stained with bile in the first part of the duodenum. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an abnormal fistulous communication of the first part of duodenum with proximal transverse colon, with a hypodense, mottled lesion within the lumen of the proximal transverse colon plugging the fistula, suggestive of a gossypiboma. Excision of the coloduodenal fistula, primary duodenal repair, and feeding jejunostomy was done. The patient recovered well and is now tolerating normal diet. Coloduodenal fistula is usually caused by Crohn's disease, malignancy, right-sided diverticulitis, and gall stone disease. Isolated coloduodenal fistula due to gossypiboma has not been reported in the literature so far to the best of our knowledge. We report this case of coloduodenal fistula secondary to gossypiboma for its rarity and diagnostic challenge.

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