Post Cholecystectomy Gossypiboma Mimicking a Liver Hydatid Cyst: Comprehensive Literature Review

Yağmur, Yusuf; Akbulut, Sami; Gümüş, Serdar

doi:10.5812/ircmj.17(4)2015.22001

Cited by 11 publications

(16 citation statements)

References 24 publications

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“…Hydatid cysts are highlighted in the differential diagnosis of thoracic gossypibomas (6). However, to the best of our knowledge, there are only six cases of gossypiboma in the literature together with the present case to be mistaken for an abdominal hydatid cyst during preoperative evaluation (7,(11)(12)(13)(14). All of these cases were reported from countries in which echinococcosis is endemic.…”

Section: Discussionmentioning

confidence: 67%

Gossypiboma mistaken for a hydatid cyst

Bozkırlı

Gündoğdu²,

Ersoy

et al. 2018

Turk J Surg

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Although considered a rare complication, gossypiboma continues to be a clinically important and probably more frequently encountered than reported situation. Here we present a case of gossypiboma that was mistaken for a hydatid cyst in the preoperative evaluation. A 34-year-old male patient with a history of Nissen fundoplication presented with a large mass palpable in the epigastrium and both the left upper and lower quadrants of the abdomen. Computed tomography was reported to show a 20×18 cm cystic mass with a collapsed germinative membrane inside it. Laparotomy, which was performed with a suggested diagnosis of type 3 hydatid cyst, revealed that the mass was caused by a 30×30 cm surgical abdominal compress. We believe gossypiboma should be kept in mind in the differential diagnosis of abdominal hydatid cysts in the presence of a former abdominal operation, especially when the result of the indirect hemagglutination test is negative.

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Section: Discussionmentioning

confidence: 67%

Gossypiboma mistaken for a hydatid cyst

Bozkırlı

Gündoğdu²,

Ersoy

et al. 2018

Turk J Surg

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“…The preoperative diagnosis of a gossypiboma is made in approximately one third of cases. Imaging procedures such as radiography, ultrasonography, computed tomography, MRI, barium enema or endoscopy may be useful for this purpose [2].…”

Section: Methodsmentioning

confidence: 99%

The Differential Diagnosis of a Gossypiboma: A Case Report

Constantin

Finașcu

Goicea

et al. 2015

JSS

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Gossypiboma” – retained foreign object (more frequently a surgical sponge) – is a rare complication of a surgical intervention, usually during an emergency or a time-consuming procedure. The clinical features include nonspecific general and digestive symptoms. Due to the surrounding inflammatory reaction, it leads to the formation of tumoral masses or fistulas, making the differential diagnosis even more difficult. We present the case of a 60-year-old woman with a history of diabetes, arterial hypertension and multiple surgical procedures of the upper abdomen, who was admitted for altered general state and a pain in the right upper and lower quadrant, where an abdominal mass that covered the skin and the right costal margin was found, mild fever and anemia. The MRI raises the suspicion of a sarcoma. The first surgical procedure (June 2014) uncovers a pus-filled collection which was drained resulting a fistula with a continuous secretion (the Pathology report suggested Actinomycosis). The patient received multiple antibiotics, without an improvement. In January 2015, a CT exam revealed a possible retained foreign object situated deeply in the hepatorenal recess. The patient had undergone surgery, through the peritoneal cavity, thus confirming the diagnosis, with the excision of the surgical sponge. The patient had a favorable postoperative course with the closure of the fistula. Even though the diagnosis of a retained foreign object may prove difficult, it needs to be taken into consideration for the differential diagnosis of any postoperative case presenting an abdominal mass, with inflammatory reaction and chronic post-excisional fistula.

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“…A new technique for prevention of such a catastrophe is electronic tagging of the surgical sponges [7] Patient presentation can be either with bowel fistulas, or with obstruction, tenesmus, vomiting, gastrointestinal hemorrhage, perforation, abscess or sepsis. [8] Rarely, patient can be asymptomatic, with the only complaints of non healing of surgical scar. Detection of the retained foreign body can be done by Computerized Tomography (CT scan) or Magnetic Resonance Imaging (MRI).…”

Section: Discussionmentioning

confidence: 99%