A mass formed around a cotton matrix left within the body is termed as textiloma or gossypiboma. It is a rare complication of surgery most commonly seen after abdominal operations. The time of presentation may range from early post-operative period to several decades later. A correct diagnosis can be made in only one-third of the cases. The most common differential diagnosis is a new-onset or recurrent tumor. This may lead to a lot of patient anxiety as well as several unnecessary attempts at biopsy or surgery. Gossypiboma may present as either of the following syndromes - pseudotumoral, occlusive, or septic entity and the risk of fistulization increases with time. We present two diverse cases, the first case being of a patient with gastro-cutaneous fistula due to retained sponge presenting within 2 months of open cholecystectomy, while the second case presented 13 years after a hysterectomy, with abdominal lump and obstruction caused by a retained sponge.
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M. Mercier, T. Noailles, E. Sali, P. Carret, R. Duvauferrier and J.L. Rouvillain (2016) Quel bilan d’imagerie permet de conforter le diagnostic de textilome devant une tumeur des membres ? Revue de la littérature. Revue de Chirurgie Orthopédique et Traumatologique102(6):581. doi: 10.1016/j.rcot.2016.07.012
Siddharth Pandey, Ajay Aggarwal, Vishwajeet Singh and Rahul Janak Sinha (2018) Gossypiboma masquerading as nephrocutaneous fistula. BMJ Case Reports:bcr-2018-225992. doi: 10.1136/bcr-2018-225992
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