Miller Margaret A, Aper Rhonda L, Fauber Amy, Blevins William E, Ramos-Vara José A
Department of Veterinary Pathobiology, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907, USA.
J Vet Diagn Invest. 2006 Mar;18(2):224-8. doi: 10.1177/104063870601800218.
Retained surgical sponges are usually discovered in the abdominal cavity, sometimes years after the surgical procedure, and the typical reaction is formation of a foreign-body granuloma, often called gossypiboma or textiloma. In this instance, an extraskeletal osteosarcoma, associated with the granulomatous reaction to a retained surgical sponge adjacent to the stifle, was diagnosed in an 11-year-old Labrador Retriever 9 years after repair of a ruptured cranial cruciate ligament. Radiographic detection of linear foreign material in the soft tissue mass was the basis for a diagnosis of gossypiboma. The mass was surgically excised. Histologically, fibers consistent with those of cotton gauze were associated with the granulomatous inflammation and the osteosarcoma. Amputation or radiation therapy was declined; the dog was treated conservatively with doxycycline and deracoxib. Three months after surgical excision, the dog was euthanized because of local recurrence of the mass along with lameness and decreased appetite.
遗留手术海绵通常在腹腔内被发现，有时是在手术多年后，典型反应是形成异物肉芽肿，通常称为棉绒瘤或纺织瘤。在这个病例中，一只11岁的拉布拉多猎犬在颅交叉韧带断裂修复9年后，被诊断出患有与靠近 stifle 的遗留手术海绵的肉芽肿反应相关的骨外骨肉瘤。软组织肿块中线性异物的放射学检测是诊断棉绒瘤的依据。肿块通过手术切除。组织学上，与棉纱布纤维一致的纤维与肉芽肿性炎症和骨肉瘤相关。截肢或放射治疗被拒绝；这只狗用强力霉素和德拉考昔进行保守治疗。手术切除三个月后，这只狗因肿块局部复发以及跛行和食欲下降而被安乐死。
