ABSTRACT
A surgical sponge or cotton swab that is inadvertently left behind in a surgical wound eventually becomes a "textiloma". Such foreign material (also called "gossypiboma") can cause a foreign-body reaction in the surrounding tissue. Textiloma is mostly asymptomatic in chronic cases, but can be confused with other soft-tissue masses. Therefore, it is important to be aware of patients who present with a paraspinal soft-tissue mass and unusual or atypical symptoms. Imaging is helpful for arriving at the correct diagnosis. Here, we describe a case of textiloma in which the patient presented with low-back pain 6 years after laminectomy and lumbar discectomy. Spinal computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass lesion in the posterior paravertebral region.
Subject(s)
Diskectomy/adverse effects , Foreign-Body Reaction/diagnosis , Laminectomy/adverse effects , Low Back Pain/diagnosis , Postoperative Complications , Surgical Sponges/adverse effects , Adult , Diagnosis, Differential , Female , Foreign-Body Reaction/etiology , Foreign-Body Reaction/pathology , Humans , Low Back Pain/etiology , Low Back Pain/pathology , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/pathology , Lumbar Vertebrae/surgery , Magnetic Resonance Imaging/methods , Tomography, X-Ray ComputedABSTRACT
An acute subdural hematoma is commonly regarded as a complication of a head injury, and bleeding is associated with contusion or laceration of the bridging vein in the subdural space. Occasionally, reports describe non traumatic acute subdural bleeding from the rupture of cerebral aneurysm or vascular malformation. However, acute spontaneous subdural hematomas (ASDH) of arterial origin, without any traumatic history or vascular anomaly, are rarely reported in literature. Here we describe two cases who presented with acute signs of intracranial hypertension secondary to a spontaneous acute subdural hematoma in which spontaneous bleeding from a small cortical artery was seen during operation.
