Abstract

 Textiloma is an iatrogenic lesion developed around a textile foreign object left behind during surgery. The more academic term is (gossypiboma), which refers to the inflammatory reaction induced by a textile object in contact with tissue, which results in the formation of an inflammatory granuloma.
Intraperitoneal localization is the most frequent and the surgical history is therefore essential for the diagnosis as the clinic is not always conclusive. Imaging often points to the textiloma in particular the CT scan, apart from other differential diagnoses can be evoked which leaves the incidental per-operative discovery possible.
We report the case of a 25 year old patient operated 4 years ago in emergency for biliary peritonitis on pycholecystic gall bladder perforation, presented chronic atypical abdominal pain, an abdominal CT scan directed towards a peritoneal hydatid cyst but the surgical exploration found surgical gauze left in place.

Keywords: Textiloma; Foreign Object; Iatrogenic; Surgery

References

1. Issam Serghini., et al. “Abdominal textiloma: report of a case”. Pan African Medical Journal 9 (2011): 10.
2. O’Connor AR., et al. “Imaging of retained surgical sponges in the abdomen and pelvis”. American Journal of Roentgenology 2 (2003): 481-489.
3. Buy JN., et al. “Computed tomography of retained abdominal sponges and towels”. Gastrointestinal Radiology 1 (1989): 41-45.
4. Chambi I., et al. “Gauze-induced granuloma (gauzoma): an uncommon complication of gauze reinforcement of berry aneurysms”. Journal of Neurosurgery 2 (1990): 163-170.
5. Giancarlo AV., et al. “Magnetic resonance image of post craniotomy retained cotton or rayon”. Journal of Neurosurgery 5 (1998): 928.
6. Le Néel JC., et al. “Textilomes: A propos de 25 cas et revue de littérature”. Chirurgie5 (1994-1995): 272-277.
7. Moyle H., et al. “Gossypiboma of the abdomen”. Archives of Surgery 131 (1996): 566-568.
8. Rajagopal A and Martin J. “Gossypiboma “a surgeon’s legacy”: report of a case and review of the literature”. Diseases of the Colon and Rectum 45 (2002): 119-120.
9. PKarila-Cohen., et al. “Textilome abdominal, Gossypiboma of the Abdomen”. Journal de Radiologie1 (2004): 17-20.
10. D Hammoud., et al. “Aspects radiologiques des textilomes”. Journal de Radiologie8 (2001): 913-916.

Citation

Citation: Taoufik Elabbassi., et al. “Abdominal Textiloma: The Haunting of Surgery". Acta Scientific Medical Sciences 4.6 (2020): 110-112.

Copyright

Copyright: © 2020 Taoufik Elabbassi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.