A 20-Year-Old Retained Surgical Gauze Mimicking a Spinal Tumor: A Case Report.
10.14245/kjs.2016.13.3.160
- Author:
Sungjoon LEE
1
;
Bomi KIM
;
Jung Soo KIM
;
Byeong Sam CHOI
Author Information
1. Department of Neurosurgery, Inje University Haeundae Paik Hospital, Busan, Korea. ttt333@hanmail.net
- Publication Type:Case Report
- Keywords:
Foreign bodies;
Gossypiboma;
Textiloma;
Retained surgical gauze;
Spinal surgery;
Spinal tumor
- MeSH:
Aged;
Constriction, Pathologic;
Decompression;
Diagnosis, Differential;
Foreign Bodies;
Foreign-Body Reaction;
Granulation Tissue;
Humans;
Leg;
Magnetic Resonance Imaging;
Young Adult*
- From:Korean Journal of Spine
2016;13(3):160-163
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
