Gossypiboma 19 years after laminectomy mimicking a malignant spinal tumour: a case report

Journal of Medical Case Reports

Yoichi Shimada⁴  Masato Takahashi¹  Tetsuya Suzuki²  Toshiki Abe³  Eiji Abe³  Naohisa Miyakoshi⁴  Takashi Kobayashi³ 

[1] Department of Diagnostic Pathology, Akita Kosei Medical Center, 1-1-1 Iijima-Nishifukuro, Akita 011-0948, Japan;Department of Orthopedic Surgery, Akita Red Cross Hospital, 222-1 Nawashirosawa, Kamikitatesaruta, Akita 010-1406, Japan;Department of Orthopedic Surgery, Akita Kosei Medical Center, 1-1-1 Iijima-Nishifukuro, Akita 011-0948, Japan;Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

关键词: Spinal surgery;    Retained surgical sponge;    Malignant spinal tumour;    Laminectomy;    Gossypiboma;    Foreign body;   

Others  :  1181041
DOI  :  10.1186/1752-1947-8-311

 received in 2014-04-21, accepted in 2014-08-27,  发布年份 2014

【 摘 要 】

Introduction

Gossypiboma is rare and mostly asymptomatic in chronic cases. It can be confused with other soft tissue masses.

Case presentation

Our patient was an 87-year-old Japanese man with a history of surgery for a lumbar lesion causing lumbar canal stenosis 19 years earlier. Computed tomography showed a soft tissue mass with osteolysis and periosteal thickening of the vertebral lamina. On magnetic resonance imaging, the mass showed heterogeneous signal intensity on T2-weighted imaging, suggesting a malignancy. At the time of biopsy, small pieces of retained surgical sponge were collected. Surgical treatment was performed to excise the soft tissue tumour.

Conclusions

Gossypiboma should be included in the differential diagnosis of soft tissue masses in the paraspinal region in patients with a history of previous spinal surgery.

【 授权许可】

   
2014 Kobayashi et al.; licensee BioMed Central Ltd.

【 图 表 】

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