Surgical gauze pseudotumor

Serra, Jean; Matias-Gulu, Xavier; Calabuig, R.; García, Pedro Julio; Sancho, Ferrán; Calle, J. Puig La

doi:10.1016/s0002-9610(88)80702-5

Cited by 53 publications

(47 citation statements)

References 6 publications

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“…Often the presumptive diagnosis is a tumour. Failure to make a correct preoperative diagnosis frequently leads to an unnecessarily aggressive surgical approach [15].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma mimicking a distal pancreatic mass: Report of a case

et al. 2010

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AbstractGossypiboma (retained surgical sponge) is a pseudotumor within the body that is composed of non-absorbable surgical material with a cotton matrix. Because the symptoms of gossypiboma usually are nonspecific and may appear years after surgery, the diagnosis of gossypiboma may be difficult because the condition may mimic a benign or malignant soft-tissue tumour in the abdomen and pelvis. A 61-year-old woman with a one-year history of left upper-quadrant pain and weight loss was referred to our center. She had undergone peptic ulcer perforation 23 year ago. Physical examination revealed dullness and palpable mass in the left upper abdomen. On examination by computed tomography (CT), a hypodense mass of 12 cm in diameter between the greater curvature of the stomach, pancreas, and splenic hilus was detected. Upon exploration, a mass lesion of 10 cm in diameter was detected between the greater curvature of the stomach and splenic hilus, which caused dense adhesions not in communication with the pancreas. It was excised and a splenectomy was performed. After a macroscopic examination, the mass lesion was diagnosed as gossypiboma. Although ultrasonography (US), CT, angiography, and magnetic resonance imaging (MRI) may be used to diagnose gossypiboma, definitive diagnosis is possibile only upon surgery or histopathological examination. As a result, when an abdominal mass is observed, surgeons should carefully investigate the patient’s past surgical history while taking the possibility of gossypiboma into consideration.

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“…Often the presumptive diagnosis is a tumour. Failure to make a correct preoperative diagnosis frequently leads to an unnecessarily aggressive surgical approach [15].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma mimicking a distal pancreatic mass: Report of a case

et al. 2010

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“…The incidence of gossypiboma varies between 1 in 100 and 1 in 3000 procedures [2] . Gossypiboma can be discovered within the first 2 weeks [3] or many years later, the longest being 30 years post operatively [4] .…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Due to Retained, Eroding Surgical Sponge: A Case Report

Althubaity¹

2005

med

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ABSTRACT.Gossypiboma is not an uncommon surgical complication but it is rarely reported mainly due to medico-legal problems. A case of a surgical sponge left in the peritoneal cavity at caesarean section eroded into the bowel and caused intestinal obstruction one year later is presented. She was treated with small bowel resection. Small bowel wall opened by enterotomy and sponge removed. A report of a correct sponge count in the operating room does not exclude the possibility of a retained surgical sponge. Certainly it is the responsibility of the surgeon to make sure that he did not leave any sponge behind. This issue will be discussed in this paper. The English literature was reviewed.

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“…There are also reports of pancreas IPT in a smoker with a heavy alcohol consumption, 9 of bladder IPT in patients with misplaced sutures or chronic cystitis who have undergone frequent instrumentation, [10][11][12] and small bowel, axilla and neck IPTs in patients with surgical gauze retention. 13 Among the IPT cases in the post-HSCT period, in patient 2, the esophageal IPT developed after balloon dilatation of the stricture. Our patient developed IPT after severe HC and frequent instrumentation.…”

Section: Inflammatory Pseudotumor After Hsctmentioning

confidence: 99%

Inflammatory pseudotumor following hematopoietic stem cell transplantation: a new case and review of the literature

Bahat

Kalayoğlu-Beşışık

Öztürk

et al. 2007

Bone Marrow Transplant

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Inflammatory pseudotumor (IPT) is a rare tumor that occurs in various organs and tissues. The clinical picture varies from the more frequent benign lesions to the rare malignant tumors with distant metastases. IPT associated with hematopoietic stem cell transplantation (HSCT) is rarely reported. In this article, we review the reports of IPT after HSCT and describe the first case of bladder IPT. We also review the possible factors involved in the pathogenesis. IPT might be rare but it is a potentially serious complication of HSCT. It should be considered in patients with otherwise unexplained inflammatory symptoms or signs or with any mass lesion in the post-HSCT period. A knowledge of this entity and insistence on a definitive biopsy of mass lesions in the post-HSCT period can avoid unnecessary treatment such as radical surgery, chemotherapy or radiotherapy.

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Surgical gauze pseudotumor

Cited by 53 publications

References 6 publications

Gossypiboma mimicking a distal pancreatic mass: Report of a case

Gossypiboma mimicking a distal pancreatic mass: Report of a case

Intestinal Obstruction Due to Retained, Eroding Surgical Sponge: A Case Report

Inflammatory pseudotumor following hematopoietic stem cell transplantation: a new case and review of the literature

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