Lumbar gossypiboma

Gossypiboma is a mass formed by a retained surgical sponge and reactive tissue. The cases with gossypiboma are usually asymptomatic or with nonspecific symptoms, which delay diagnosis for months or years after surgery. We describe imaging findings in a 43-year-old woman with a symptomatic retained s...

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Bibliographic Details
Published in:Diagnostic and interventional radiology (Ankara, Turkey) Turkey), 2010-03, Vol.16 (1), p.10-12
Main Authors: Erdem, Gülnur, Ateş, Ozkan, Koçak, Ayhan, Alkan, Alpay
Format: Article
Language:English
Subjects:
Adult
Diffusion Magnetic Resonance Imaging - methods
Female
Foreign Bodies - diagnostic imaging
Foreign Bodies - pathology
Foreign Bodies - surgery
Humans
Laminectomy
Lumbosacral Region - diagnostic imaging
Lumbosacral Region - pathology
Magnetic Resonance Imaging - methods
Surgical Sponges
Tomography, X-Ray Computed
Ultrasonography
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Summary:Gossypiboma is a mass formed by a retained surgical sponge and reactive tissue. The cases with gossypiboma are usually asymptomatic or with nonspecific symptoms, which delay diagnosis for months or years after surgery. We describe imaging findings in a 43-year-old woman with a symptomatic retained surgical sponge in a lumbar laminectomy site. Ultrasonography, computed tomography, magnetic resonance imaging (MRI), and diffusion-weighted MRI were performed. Gossypiboma should be considered in the differential diagnosis of a mass in a patient with a history of prior surgery. Diffusion-weighted MRI may provide important data for differential diagnosis of gossypiboma. With diffusion-weighted MRI, gossypiboma may be distinguished from an abscess by its low signal intensity and increased apparent diffusion coefficient (ADC) as compared to high signal intensity with low ADC in cases of abscess.
ISSN:1305-3825
1305-3612
DOI:10.4261/1305-3825.DIR.1183-07.1