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Textiloma:一种模拟脊柱肿瘤的异物肉芽肿病例报告。

Textiloma: A Case of Foreign Body Mimicking a Spinal Tumor.

机构信息

Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Spine (Phila Pa 1976). 2017 Nov 1;42(21):E1272-E1274. doi: 10.1097/BRS.0000000000002164.

Abstract

STUDY DESIGN

Case report OBJECTIVE.: To report a case of foreign body mimicking spinal tumor.

SUMMARY OF BACKGROUND DATA

Gossypiboma or more broadly retained foreign object is a surgical complication resulting from foreign materials such as cotton or gauze pads and surgical sponge, accidentally left inside a patient's body. Such foreign materials cause foreign body reaction in the surrounding tissue.

METHODS

A retrospective case report was performed. Informed consent was obtained from patient.

RESULTS

We describe a case of textiloma in which the patient presented with low back pain and radiculopathy 12 years after L5\S1 discectomy. Imaging revealed a round mass lesion in the sacral space.

CONCLUSION

At the end of surgery, the operative site should be flushed with saline and carefully examined for any foreign materials.

LEVEL OF EVIDENCE

摘要

研究设计

病例报告

目的

报告一例异物模拟脊柱肿瘤的病例。

背景资料总结

棉垫或广义上的异物是一种手术并发症,是由于棉花或纱布垫和手术海绵等异物意外遗留在患者体内而导致的。这些异物会在周围组织中引起异物反应。

方法

进行了回顾性病例报告。已获得患者的知情同意。

结果

我们描述了一例 Textiloma 病例,患者在 L5\S1 椎间盘切除术后 12 年出现腰痛和神经根病。影像学显示骶骨间隙有一个圆形肿块病变。

结论

手术结束时,应使用生理盐水冲洗手术部位,并仔细检查有无异物。

证据水平

4 级。

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