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Case Report

J Pak Med Assoc. 2014; 64(6): 708-710

Gossypiboma/textiloma mimicking as tumour recurrence

Musa Atay, Issam Cheikh Ahmad, Mehmet Bilgin, Ercan Kocakoc.

A surgical sponge accidentally left in a surgical wound,
called a textiloma or gossypiboma, is underreported in
literature due to medicolegal consequences. Abdominal
textiloma may be asymptomatic or present serious
gastrointestinal complications such as bowel obstruction,
perforation or fistula formation because of misdiagnosis.
It may mimic abscess formation in early stage or softtissue
masses in chronic stage. If there is an
intraabdominal abscess resistant to catheter drainage in
the postoperative period or an intraabdominal soft tissue
mass with a history of previous surgery, textiloma should
be included in the differential diagnosis.Whirl-like
spongiform pattern especially on CT, well-defined border
and fibrous capsule especially on MRI can help in the
diagnosis of textiloma. We describe a case of intraabdominal
textiloma mimicking abscess and soft tissue
tumour on CT and MRI examination.

Key words: Textiloma, Gossypiboma, Abscess, Tumour, CT, MRI.

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