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Case report


Gossypiboma, varied presentations: a report of two cases.

Supreethi KohliAnu SinghalBishwanath TiwariSanjeev Singhal
Date of Submission: 20-Dec-2012, Date of Acceptance: 05-Feb-2013, Date of Web Publication: 28-Feb-2013.
Corresponding Author:
Corresponding Author

Anu Singhal

244/2d, Railway Officers’ Enclave, Panchkuian Road, New Delhi ‑ 110 001, India.
E-mail: drsinghals@gmail.com

Corresponding Author:
Corresponding Author

Anu Singhal

244/2d, Railway Officers’ Enclave, Panchkuian Road, New Delhi ‑ 110 001, India.
E-mail: drsinghals@gmail.com

DOI: 10.4103/2156-7514.107998 Facebook Twitter Google Linkedin

ABSTRACT


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.
Keywords: Gossypiboma, Gastro-cutaneous Fistula, Intestinal Obstruction

Cited in 5 Documents

  1. M. Mercier, T. Noailles, E. Sali, P. Carret, R. Duvauferrier and J.L. Rouvillain (2016) What type of imaging work-up will help to confirm the diagnosis of gossypiboma in the limb? Review of literature. Orthopaedics & Traumatology: Surgery & Research 102(6):795. doi: 10.1016/j.otsr.2016.06.010
  2. Manouchehr Khoshbaten and Sepideh Tahsini Tekantapeh (2016) Endoscopic removal of retained large surgical gauze: a case report. Rev Esp Enferm Dig 109:. doi: 10.17235/reed.2016.4225/2016
  3. Yusuf Yagmur, Sami Akbulut and Serdar Gumus (2015) Post Cholecystectomy Gossypiboma Mimicking a Liver Hydatid Cyst: Comprehensive Literature Review. Iran Red Crescent Med J 17(4):. doi: 10.5812/ircmj.17(4)2015.22001
  4. 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 Traumatologique 102(6):581. doi: 10.1016/j.rcot.2016.07.012
  5. 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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