Celik Hakki, Akin Isil Basara, Altay Canan, Bisgin Tayfun, Obuz Funda
Department of Radiology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
Department of General Surgery, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
Radiol Case Rep. 2021 Aug 26;16(11):3308-3310. doi: 10.1016/j.radcr.2021.07.075. eCollection 2021 Nov.
Gossypiboma is a foreign object, such as a mass of cotton matrix or a sponge, that is left behind in a body cavity during surgery. It is uncommon, mostly asymptomatic, and hard to diagnose. It may be incorrectly diagnosed preoperatively, which can lead to unnecessary invasive diagnostic procedures and operations. It should be included in the differential diagnosis of soft-tissue masses detected in patients with a history of a prior operation. We present a case of 36-year-old female who referred to emergency room with severe abdominal pain and distension. Imaging revealed a giant intra-abdominal mass resembling a soft tissue tumor, but revealed to be a giant gossypiboma caused by a sponge that was forgotten during previous ectopic pregnancy surgery. This case differs from others with the absence of findings supporting gossypiboma such as calcification or trapped gas bubbles and emphasizes the importance of this potentially life-threatening complication of surgery.
棉绒瘤是一种异物，如一团棉织物或一块海绵，在手术过程中遗留在体腔内。它并不常见，大多无症状，且难以诊断。术前可能会被误诊，这可能导致不必要的侵入性诊断程序和手术。对于有既往手术史的患者所发现的软组织肿块，应将棉绒瘤纳入鉴别诊断。我们报告一例36岁女性，因严重腹痛和腹胀被送往急诊室。影像学检查发现一个巨大的腹腔内肿块，类似软组织肿瘤，但结果显示是一个巨大的棉绒瘤，由先前异位妊娠手术中遗忘的一块海绵所致。该病例与其他病例不同之处在于没有支持棉绒瘤的表现，如钙化或 trapped 气泡，强调了这种潜在的危及生命的手术并发症的重要性。 注：原文中“trapped gas bubbles”直译为“被困气泡”，但结合语境可能有更准确表述，这里先保留英文，待进一步确认其准确含义。
