Gossypiboma Mimicking a Retroperitoneal Tumor

“Gossypiboma” denotes a mass of cotton that is retained in the body after surgery. An image is presented of a retroperitoneal mass in a lady who had a right nephrectomy 8 years earlier for a nonfunctioning kidney. Clinical examination and plain abdominal radiography were not contributory. Contrast-e...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2014-10, Vol.84 (4), p.e13-e14
Main Authors: Jacob Philip George, Arun, Mukha, Rajiv Paul, Kekre, Nitin S
Format: Article
Language:English
Subjects:
Diagnosis, Differential
Female
Foreign Bodies - diagnosis
Humans
Middle Aged
Retroperitoneal Neoplasms - diagnosis
Retroperitoneal Space
Surgical Sponges
Urology
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Summary:“Gossypiboma” denotes a mass of cotton that is retained in the body after surgery. An image is presented of a retroperitoneal mass in a lady who had a right nephrectomy 8 years earlier for a nonfunctioning kidney. Clinical examination and plain abdominal radiography were not contributory. Contrast-enhanced abdominal computed tomography revealed a well-defined, heterogeneous, spherical, soft-tissue mass, 13 × 9 × 9 cm in size, in the retroperitoneum, with a dense enhanced wall, abutting the right psoas and posterior abdominal wall. Exploration revealed an abdominal sponge surrounded by foreign body granuloma adherent to surrounding structures. Gossypiboma can mimic a tumor and is a diagnostic challenge.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2014.06.018