Naama O, Quamous O, Elasri C A, Boulahroud O, Belfkih H, Akhaddar A, Elmostarchid B, Elbouzidi A, Boucetta M
Department of Neurosurgery, Mohammed V Military hospital, Rabat, Morocco.
J Neuroradiol. 2010 May;37(2):131-4. doi: 10.1016/j.neurad.2009.04.003. Epub 2009 Jun 27.
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.
一块不小心遗留在手术伤口内的手术海绵或棉签最终会形成“纺织瘤”。这种异物（也称为“棉纤维瘤”）会在周围组织中引发异物反应。纺织瘤在慢性病例中大多无症状，但可能与其他软组织肿块混淆。因此，对于出现椎旁软组织肿块并伴有异常或非典型症状的患者，提高警惕很重要。影像学检查有助于做出正确诊断。在此，我们描述一例纺织瘤病例，该患者在椎板切除术和腰椎间盘切除术后6年出现腰痛。脊柱计算机断层扫描（CT）和磁共振成像（MRI）显示椎旁后区有一个肿块病变。
