Recurrent gossypiboma in the thigh.
Gossypiboma, an iatrogenic mass lesion caused by a retained surgical sponge is an extremely rare event following musculoskeletal procedures. This entity is therefore a very unusual experience and can create considerable confusion. Unsuspecting surgeons may thus be caught out by this unlikely presentation. We present our experience with a recurrent gossypiboma in the thigh occurring several years after surgical evacuation of a similar gossypiboma from the same anatomic location with interval resolution of symptoms. The purpose of this case report is to highlight the possibility of a "recurrent" soft tissue mass occurring for reasons other than a neoplasm. In the absence of a definitive biopsy diagnosis of tumor in patients who have undergone prior surgical procedures in that area, it may be more prudent to adopt a conservative surgical resection rather than a conventional radical resection as warranted by the dramatic clinical presentation mimicking a soft tissue sarcoma.
Puri
Ajay
A
Department of Orthopaedic Oncology, Tata Memorial Hospital, E. Borges Road, Parel, Mumbai 400 012, India. docpuri@vsnl.com
Anchan
Chetan
C
Jambhekar
Nirmala A
NA
Agarwal
Manish G
MG
Badwe
Rajendra A
RA
D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D015503:Surgical Sponges; D013848:Thigh