Jain Shivi, Verma Ashish, Jain Madhu, Trivedi Sameer, Shukla Ram C, Srivastava Arvind
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Department of Obstetrics and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Indian J Radiol Imaging. 2015 Apr-Jun;25(2):193-5. doi: 10.4103/0971-3026.155872.
A surgical swab retained in the body after surgery is known as 'Gossypiboma'. The purpose of this report is to highlight an intramural vesical gossypiboma mimicking an invasive adnexal malignancy. A 28-year-old multiparous, with open-tubal ligation three years ago, presented with painless hematuria and a nontender mass on vaginal examination. USG suggested 'pelvic endometriosis' infiltrating into the bladder and cystoscopy showed no intraluminal extension of the mass. Contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) misdiagnosed it as invasive malignancy of the fallopian tube. Exploratory laparotomy found it to be an intramural vesical gossypiboma. A pelvic gossypiboma infiltrating into the wall of the urinary bladder may easily be misinterpreted as an invasive pelvic malignancy on imaging and may make one consider unwarranted radical surgery.
手术后留在体内的手术拭子被称为“棉绒瘤”。本报告的目的是强调一例模仿浸润性附件恶性肿瘤的膀胱壁内棉绒瘤。一名28岁经产妇，三年前接受了输卵管结扎术，出现无痛性血尿，阴道检查发现一个无压痛肿块。超声检查提示“盆腔子宫内膜异位症”浸润膀胱，膀胱镜检查显示肿块无腔内延伸。增强计算机断层扫描（CECT）和磁共振成像（MRI）将其误诊为输卵管浸润性恶性肿瘤。剖腹探查发现是膀胱壁内棉绒瘤。浸润膀胱壁的盆腔棉绒瘤在影像学上很容易被误诊为浸润性盆腔恶性肿瘤，可能会让人考虑进行不必要的根治性手术。
