Medical Rehabilitation Centre, Moscow, Russia.
Endosc Ultrasound. 2014 Apr;3(Suppl 1):S9-S10.
The term textiloma is used to describe foreign body (swab) forgotten during surgery. We don't know any case of the description of endoscopic ultrasonography (EUS) for intra-abdominal textiloma.
To determine the EUS capabilities in the topical diagnosis of intra-abdominal textiloma.
Patient, female, 57-year-old was admitted to our hospital with post-operative hernia. 10 months before the patient underwent surgery (laparotomy, splenectomy) in another hospital. For ethical reasons, we do not name that hospital. Intra-abdominal lesion has been accidentally revealed by computed tomography during the pre-operative examination prior to hernioplasty. Ultrasound unclear detected hyperechoic lesion with a dense acoustic shadow. The patient was sent to the EUS to clarify the diagnosis and to determine the topography of the lesion, fine-needle aspiration - if required.
EUS revealed a hyperechoic corrugated border of the lesion with a dense acoustic shadow - between the gastric wall and the lower surface of the liver. Taking into account preceding surgery EUS suspected textiloma. The patient underwent hernioplasty and revision of the abdominal cavity. Textiloma has been revealed between the stomach and liver.
EUS correctly diagnosed textiloma and accurately determined its location.
“textiloma”一词用于描述手术过程中遗留的异物（拭子）。我们不知道任何关于描述腹腔内 textiloma 的内镜超声（EUS）的案例。
确定 EUS 在腹腔内 textiloma 的局部诊断中的能力。
患者，女性，57 岁，因术后疝入住我院。10 个月前，该患者在另一家医院接受了手术（剖腹术、脾切除术）。出于伦理原因，我们不提及该医院的名称。在疝修补术之前的术前检查中，计算机断层扫描意外揭示了腹腔内病变。超声检查未能清晰检测到高回声病变伴致密声影。患者被转至 EUS 以明确诊断，并确定病变的位置，如果需要，进行细针抽吸。
EUS 显示病变呈高回声波纹状边界，伴有致密声影 - 在胃壁和肝脏下表面之间。考虑到先前的手术，EUS 怀疑为 textiloma。患者接受了疝修补术和腹腔翻修。textiloma 在胃和肝脏之间被揭示。
EUS 正确诊断了 textiloma，并准确确定了其位置。
