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

Şahi̇n, Soner; Atabey, Cem; Şimşek, Mikdat; Naderi, Sait

doi:10.5152/balkanmedj.2013.8732

Cited by 18 publications

(20 citation statements)

References 30 publications

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“…Foreign bodies were frequently connected to abdominal In reaction to fibrous aseptic tissue, the formation of a fibrous capsule would lead to granuloma [1] [5] [7]. In this case, the patient may remain asymptomatic for days to years [4] [8]. Sometimes the foreign body can be accidentally discovered during a routine radiological examination [9].…”

Section: Discussionmentioning

confidence: 99%

Unusual Foreign Bodies of Surgical Discovery on a Traumatic Spine

Ouiminga¹,

Savadogo²,

Zabsonre³

et al. 2020

WJNS

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Introduction: Para-spinal non-metallic foreign bodies (fabrics or plastics) are rare and poorly documented. They are often unknown and discovered at the stage of infectious complications and present big therapeutic challenges. We report a rare case of three para-spinal foreign bodies (fabric, plastic and postoperative gauze) discovered during surgery of a traumatic thoracic spine. Case report: A 32-year-old man admitted for a polytrauma (collision motorcycle-cart). The admission examination noted closed trauma of the thoracic spine, an ASIA score of A, dyspnea, a penetrating wound of the left side of the chest. The CT scan showed a compressive left pleural effusion, multiple ribs fractures, pulmonary contusion, unstable fracture of fifth and sixth thoracic vertebrae associated with posterior epidural hematoma responsible for medullar compression. There was a rounded, para-spinal image, dotted with small areas of low density, air bubbles. We lifted the vital emergency by draining the left pleural effusion, debriding the penetrating chest wound, and administering broad-spectrum antibiotic therapy. Fourteen days later, we decided to stabilize the spine. After a posterior approach, we discovered free pus and para-vertebral three foreign bodies. Enterobacter spp. was isolated in pus susceptible to imipenem. The immediate operative follow-up was simple. Conclusion: The best treatment remains preventive by simple measures, exploration of penetrating wounds, repeated count and careful verification of gauze, because the infectious complications that they generate are source of mortality and serious medico-legal implications.

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Section: Discussionmentioning

confidence: 99%

Unusual Foreign Bodies of Surgical Discovery on a Traumatic Spine

Ouiminga¹,

Savadogo²,

Zabsonre³

et al. 2020

WJNS

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show abstract

“…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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“…[1] It is a rare tumor and was first described in 1972 by Limas and Tito. [2] It usually occurs in the spine and posterior fossa.…”

Section: Introductionmentioning

confidence: 99%

Intramedullary melanocytoma of thoracic spine: A rare case report

et al. 2014

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Melanocytomas are present in leptomeninges and arise from neural crest during early embryonic development. They are a rare entity and usually occur in the thoracic spine and infratentorial region. We report a 32-year-old female with meningeal melanocytoma of D9-10. Magnetic resonance imaging revealed an intramedullary spinal tumor at D9-D10. Intraoperatively, the tumor was greyish-black in color with moderate vascularity, and was adherent to the cord. The clinical differential diagnoses included cavernoma and melanocytoma. On microscopic examination, the lesion showed sheets of cells with marked pigment deposition, which was obscuring the cellular morphology. The pigment was confirmed to be melanin by Masson's Fontana stain. Immunohistochemistry was performed, which showed positivity for HMB-45, S-100, Vimentin and Melan-A. The cells were negative for cytokeratin, epithelial membrane antigen, Glial fibrillary acidic protein and neuron-specific enolase. Mib-1 labeling index was less than 1%. In view of the lack of nuclear atypia, mitoses, necrosis and low Mib-1-labeling index along with immunohistochemistry profile, the diagnosis of Melanocytoma was made. Melanocytomas are rare pigmented tumors of the spinal cord and posterior cranial fossa. They are benign in nature, but can also be locally aggressive. Melanocytic lesions of the nervous system are to be differentiated from metastatic melanomas and also tumors showing melanin pigment deposition like schwanomma, paraganglioma, medulloblastoma and various gliomas.

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

Cited by 18 publications

References 30 publications

Unusual Foreign Bodies of Surgical Discovery on a Traumatic Spine

Unusual Foreign Bodies of Surgical Discovery on a Traumatic Spine

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

Intramedullary melanocytoma of thoracic spine: A rare case report

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