Retained surgical sponge in the thigh: report of the third known case in the limb.
We report a retained surgical sponge (gossypiboma) in the thigh, which mimicked a neoplasm. A 25-year-old man, who had a past history of external fixation for femoral shaft fracture, complained of swelling in the left thigh with pain. A radiograph of the thigh showed periosteal reaction. T1-weighted magnetic resonance (MR) images showed a well-defined mass with heterogenous signal intensity, and T2-weighted images showed tortuous lines of low signal intensity within the mass. Surgical excision revealed a retained gauze sponge within the mass. Histopathological examination revealed foreign body reaction related to the retained gauze sponge. Our case, the third to our knowledge of gossypiboma in a limb, demonstrated characteristic MR imaging findings.
Kominami
Masato
M
Department of Radiology, Japan Self-Defence Forces Central Hospital, Tokyo, Japan.
Fujikawa
Akira
A
Tamura
Taiji
T
Naoi
Yutaka
Y
Horikawa
Osamu
O
D000328:Adult; D003937:Diagnosis, Differential; D005264:Femoral Fractures / Q000601:surgery; D005547:Foreign Bodies / Q000175:diagnosis*; D005549:Foreign-Body Reaction / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012983:Soft Tissue Neoplasms / Q000175:diagnosis; D015503:Surgical Sponges; D013848:Thigh