title: [Postoperative intra-abdominal foreign body resemblance to neoplasm. Report of a case and review of the bibliography].
abstract: BACKGROUND
  Gossypibomas or textilomas are materials remain in the abdomen after surgery. It is very difficult to assess its impact due to medico-legal implications, hence the interest in the publication of this type of pathology.
  
  
  METHODS
  Women of 76 years who had undergone a hysterectomy and double anexectomy 6 months before admission to our hospital, apparently without perioperative complications. When she was assessed in our hospital she had a clinical picture simulating a malignancy. In our case, the patient had signs and symptoms of advanced intra-abdominal malignancy, such as chronic anemia, significant weight loss and palpable abdominal mass. The diagnostic procedure combined computed tomography and colonoscopy, aiming to find the signs of intra-abdominal gossypiboma. Three bowel resections were performed to extract the foreign body, with satisfactory postoperative results and remaining asymptomatic to date.
  
  
  CONCLUSIONS
  Intra-abdominal gossypibomas are exceptional, although the diagnosis is made through imaging and, if suspected GI neoplasm, endoscopic studies. The primary differential diagnosis must be made with intra-abdominal malignancies.
authors.affiliation: Servicio de Cirugía A. Hospital Clínico Universitario "Lozano Blesa" de Zaragoza, Zaragoza, Spain. igilromea@hotmail.com
authors.forename: Ismael
authors.initials: I
authors.lastname: Gil-Romea
authors.forename: María Pilar
authors.initials: MP
authors.lastname: Valcarreres-Rivera
authors.forename: Pilar
authors.initials: P
authors.lastname: Palacios-Gasos
authors.forename: Laura
authors.initials: L
authors.lastname: Lamata-Delaorden
authors.forename: Jesús
authors.initials: J
authors.lastname: Quintana-Martínez
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: Moreno-Mirallas
mesh_terms: D000008:Abdominal Neoplasms / Q000175:diagnosis*; D000290:Adnexa Uteri / Q000601:surgery; D000368:Aged; D000740:Anemia / Q000209:etiology; D002429:Cecal Diseases / Q000209:etiology / Q000601:surgery; D002432:Cecum / Q000601:surgery; D003113:Colonoscopy; D003951:Diagnostic Errors; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D009780:Occult Blood; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D015503:Surgical Sponges / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D015431:Weight Loss
keywords: Intra-abdominal textiloma; gossypiboma