Textiloma of the thigh presenting as a sarcoma.
Textiloma is defined as a tumor composed of cotton matrix surrounded by granulomatous reaction. It occurs following operations in which surgical sponges were inadvertently left behind. We describe a case of a 59-year-old man presenting with a pathologic fracture of the proximal left femur. The results of the biopsy, unlike diagnoses suggested by radiographs, CT scan and magnetic resonance imaging revealed a textiloma of 23 years of evolution. Because of major bone loss, resection of the involved bone was performed followed by ipsilateral fibular bone graft.
Mboti
B
B
Department of Surgery, Jules Bordet Institute, Tumor Center, Free University of Brussels (ULB), Brussels, Belgium.
Gebhart
M
M
Larsimont
D
D
Abdelkafi
K
K
D001859:Bone Neoplasms / Q000175:diagnosis* / Q000473:pathology; D016025:Bone Transplantation; D003937:Diagnosis, Differential; D005264:Femoral Fractures / Q000601:surgery; D005269:Femur / Q000473:pathology* / Q000601:surgery; D015745:Granuloma, Foreign-Body / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012509:Sarcoma / Q000175:diagnosis* / Q000473:pathology; D015503:Surgical Sponges / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed