Bozkırlı Bahadır Osman, Gündoğdu Rıza Haldun, Ersoy Pamir Eren, Akbaba Soner, Oduncu Mehmet
Clinic of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
Clinic of General Surgery, Atatürk Training and Research Hospital, Ankara, Turkey.
Turk J Surg. 2020 Dec 29;36(4):405-408. doi: 10.47717/turkjsurg.2020.3742. eCollection 2020 Dec.
Although considered a rare complication, gossypiboma continues to be a clinically important and probably more frequently encountered than reported situation. This study aimed to report a case of gossypiboma that was mistaken for a hydatid cyst in the preoperative evaluation. A 34-year-old male patient with a history of Nissen Fundoplication presented with a large mass palpable in the epigastrium and both the left upper and lower quadrants of the abdomen. Computerized tomography was reported to show a 20x18 cm cystic mass with a collapsed germinative membrane inside it. Laparotomy, which was performed with a suggested diagnosis of type 3 hydatid cyst, revealed that the mass was caused by a 30x30 cm surgical abdominal compress. We believe gossypiboma should be kept in mind in the differential diagnosis of abdominal hydatid cysts in the presence of a former abdominal operation, especially when the result of indirect hemagglutination test is negative.
尽管棉籽瘤被认为是一种罕见的并发症，但它在临床上仍然很重要，而且实际遇到的情况可能比报告的更为频繁。本研究旨在报告一例在术前评估中被误诊为包虫囊肿的棉籽瘤病例。一名有尼氏胃底折叠术病史的34岁男性患者，上腹部及左腹上下象限可触及一个大肿块。计算机断层扫描报告显示有一个20×18厘米的囊性肿块，内部有一个塌陷的生发膜。剖腹手术时初步诊断为3型包虫囊肿，结果发现肿块是由一个30×30厘米的外科腹部敷料引起的。我们认为，在有腹部手术史的情况下，尤其是间接血凝试验结果为阴性时，在腹部包虫囊肿的鉴别诊断中应考虑棉籽瘤。
