Textiloma: an uncommon complication of posterior lumbar surgery.
A surgical sponge or cotton swab that is inadvertently left behind in a surgical wound eventually becomes a "textiloma". Such foreign material (also called "gossypiboma") can cause a foreign-body reaction in the surrounding tissue. Textiloma is mostly asymptomatic in chronic cases, but can be confused with other soft-tissue masses. Therefore, it is important to be aware of patients who present with a paraspinal soft-tissue mass and unusual or atypical symptoms. Imaging is helpful for arriving at the correct diagnosis. Here, we describe a case of textiloma in which the patient presented with low-back pain 6 years after laminectomy and lumbar discectomy. Spinal computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass lesion in the posterior paravertebral region.
Naama
O
O
Department of Neurosurgery, Mohammed V Military hospital, Rabat, Morocco. Okacha_naama@hotmail.com
Quamous
O
O
Elasri
C A
CA
Boulahroud
O
O
Belfkih
H
H
Akhaddar
A
A
Elmostarchid
B
B
Elbouzidi
A
A
Boucetta
M
M
D000328:Adult; D003937:Diagnosis, Differential; D017586:Diskectomy / Q000009:adverse effects*; D005260:Female; D005549:Foreign-Body Reaction / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D017116:Low Back Pain / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D011183:Postoperative Complications; D015503:Surgical Sponges / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed