Case of a giant gauzeoma diagnosed 21 years after an inguinal hernia surgery

Ryosuke Chaya; Takehiko Okamura; Takashi Nagai; Daichi Kobayashi; Takahiro Kobayashi; Hidetoshi Akita; Takahiro Yasui

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Case of a giant gauzeoma diagnosed 21 years after an inguinal hernia surgery

VernacularTitle:Case of a giant gauzeoma diagnosed 21 years after an inguinal hernia surgery
Author: Ryosuke CHAYA ¹ ; Takehiko OKAMURA ¹ ; Takashi NAGAI ¹ ; Daichi KOBAYASHI ¹ ; Takahiro KOBAYASHI ¹ ; Hidetoshi AKITA ¹ ; Takahiro YASUI ²
Author Information

1. Department of Urology, Anjo Kosei Hospital, Japan
2. Department of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Japan
Keywords: gauzeoma; inguinal hernia surgery; retroperitoneal tumor
From:Journal of Rural Medicine 2018;13(2):177-180
CountryJapan
Language:English
Abstract: Objectives: Gauze remnants form gauzeomas after surgery, if infection has not occurred. We present a case of gauzeoma diagnosed after surgery.Patient: A 72-year-old man noticed a mass in his lower abdomen. He had undergone surgery for left inguinal hernia 21 years ago. A retroperitoneal mass was found on computed tomography (CT) and magnetic resonance imaging (MRI), and he was then referred to our hospital. A detailed abdominal ultrasonography, CT, and MRI revealed a cystic mass with a bulkhead-like structure near the bladder. These findings indicated the possibility of a malignant cyst; hence, an open surgery was performed to excise the mass. Macroscopically, the specimen was clearly bound, covered with a capsule, and filled with pus and had a gauze inside.Results: Based on the patient history and position of the mass, it was diagnosed as gauzeoma, which had strayed into the retroperitoneal cavity during the surgery for inguinal hernia.Conclusion: The imaging findings of gauzeoma are diverse; hence, it is often difficult to diagnose without surgery. However, gauzeoma can be lethal if the cystic mass is infected; thus, it is important to diagnose it correctly.