Arora Ram Krishan, Johal Karandeep Singh
Department of Orthopaedics, Sri Guru Ram Das Institute Medical Sciences & Research, Vallah, Sri Amritsar, Punjab-143 006, India.
J Orthop Case Rep. 2014 Jul-Sep;4(3):22-4. doi: 10.13107/jocr.2250-0685.188.
The word Gossypiboma has been used for a retained surgical sponge/swab and is derived from gossypium(latin:cotton) and boma(Swahili-place of concealment). Other synonyms for this entity are textiloma, retained textile foreign body(RTFB)"/muslinoma. It is rare in muskulo-skeletal surgery.
An eighteen year old boy was operated upon for failed plating of right femur. He had a globular swelling in mid thigh. There were no discharging sinuses, no signs/symptoms of infection. While operating on him to remove the failed implant and fix the fracture, while following standard procedures, we found a full size sponge embedded in the fracture site.
In all cases presenting with an incidental mass with/without sinus, Gossypiboma be kept in the differential diagnosis. Awareness of the condition is a must to diagnose such a rare condition. While operating one should make sure that no sponge is left inside-which can have serious medicolegal consequences.
“棉绒瘤”一词用于指代残留手术海绵/拭子，它由棉属（拉丁语：棉花）和博马（斯瓦希里语：隐匿处）衍生而来。该实体的其他同义词有纺织瘤、残留纺织异物（RTFB）/纱布瘤。在肌肉骨骼手术中较为罕见。
一名18岁男孩因右股骨钢板固定失败接受手术。他大腿中部有一个球形肿胀。没有引流窦，也没有感染的体征/症状。在为他进行手术以取出失败的植入物并固定骨折时，按照标准程序操作，我们发现一块完整尺寸的海绵嵌入骨折部位。
在所有出现伴有/不伴有窦道的偶然肿块的病例中，棉绒瘤都应列入鉴别诊断。了解这种情况对于诊断如此罕见的病症至关重要。手术时应确保不留任何海绵在体内，否则可能会产生严重的医疗法律后果。
