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J Neuroradiol ; 37(2): 131-4, 2010 May.
Article in English | MEDLINE | ID: mdl-19560822

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 Computed
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