Scharfetter Sandra, Weitgasser Laurenz, Wimmer Florian, Ebner Barbara, Russe Elisabeth, Wechselberger Gottfried
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.
Department of Radiology and Nuclear Medicine, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.
Plast Reconstr Surg Glob Open. 2025 Jul 22;13(7):e7007. doi: 10.1097/GOX.0000000000007007. eCollection 2025 Jul.
A forgotten surgical sponge following surgery, also called textiloma, is a rare yet significant issue, whereas fat necrosis is more prevalent, particularly in breast surgery. We present a case experiencing persistent postoperative pain, a lump in the right breast, delayed wound healing, and the formation of a fistula following breast reduction surgery. The patient's symptoms were managed conservatively for 1 year because they were initially misdiagnosed as fat necrosis. A subsequent mammogram suggested a retained surgical sponge. The diagnosis of a textiloma was verified during surgical intervention. This case highlights the significance of implementing intraoperative preventive measures, including the meticulous counting of surgical sponges. Additionally, it emphasizes the importance of reassessing patients with unresolved symptoms.
术后遗留手术海绵，又称纺织瘤，是一个罕见但重要的问题，而脂肪坏死更为常见，尤其是在乳房手术中。我们报告一例乳房缩小术后出现持续性术后疼痛、右乳肿块、伤口愈合延迟及瘘管形成的病例。患者症状最初被误诊为脂肪坏死，因此保守治疗了1年。随后的乳房X光检查提示有手术海绵残留。手术干预时确诊为纺织瘤。该病例强调了实施术中预防措施的重要性，包括仔细清点手术海绵。此外，它还强调了对症状未缓解的患者进行重新评估的重要性。
