Department of Radiology, Hospital das Clinicas, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
AJR Am J Roentgenol. 2009 Dec;193(6 Suppl):S94-101. doi: 10.2214/AJR.07.7132.
Textiloma and gossypiboma are terms used to describe a mass of cotton matrix that is left behind in a body cavity during an operation. This is an uncommon surgical complication. Gossypibomas are most frequently discovered in the abdomen. Such foreign bodies can often mimic tumors or abscesses clinically or radiologically; however, they are rarely reported because of the medicolegal implications. The manifestations and complications of gossypibomas are so variable that diagnosis is difficult and patient morbidity is significant.
This article discusses the clinical manifestations, pathophysiologic aspects, and most important complications related to gossypibomas; presents the classic imaging features of gossypibomas using a multitechnique approach; and shows some of the typical and atypical sites of gossypibomas.
Textiloma 和 gossypiboma 是用于描述在手术过程中遗留于体腔中的棉基质肿块的术语。这是一种罕见的手术并发症。gossypibomas 最常发现在腹部。这些异物在临床上或放射学上常可模拟肿瘤或脓肿;然而,由于法律医学方面的影响,很少有报道。gossypibomas 的表现和并发症变化多样,因此诊断困难,患者发病率高。
本文讨论了 gossypibomas 相关的临床表现、病理生理方面以及最重要的并发症;使用多种技术方法介绍了 gossypibomas 的典型影像学特征;并展示了 gossypibomas 的一些典型和非典型部位。