title: A 12-year-old chronic form textiloma after revision surgery for infected spinal instrumentation.
abstract: Retained surgical gauze and the surrounding foreign body reaction constitute a mass referred to as a textiloma. Textiloma has acute and chronic forms; the acute form is symptomatic in the early postoperative period and the chronic form may be asymptomatic or display mild and nonspecific symptoms. Usually, textiloma after previously infected surgery has acute forms. We report here on a case of a 46-year-old male who had retained surgical gauze for 12 years. The patient had received revision surgery for infected spinal instrumentation 12-years previously and had no specific symptom after surgery. One month prior to the present admission, the patient experienced low back pain and left thigh pain. Based on the prior operative history and present imaging results, the patient was diagnosed with an abscess due to a foreign body reaction. The patient underwent surgery, which discovered retained gauze with granuloma. This case is the third longest reported case after entire spinal surgery and the longest time of textiloma after previously infected spine surgery.
authors.affiliation: Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 2 Sosa-dong, Wonmi-gu, Bucheon, 420-717, Korea.
authors.forename: Youn-Soo
authors.initials: YS
authors.lastname: Kim
authors.affiliation: Department of Clinical Pathology, Bucheon St. Mary's Hospital, The Catholic University of Korea, 2 Sosa-dong, Wonmi-gu, Bucheon, 420-717, Korea.
authors.forename: Hee-Jung
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 2 Sosa-dong, Wonmi-gu, Bucheon, 420-717, Korea.
authors.forename: Jong-Hyeok
authors.initials: JH
authors.lastname: Jeon
authors.affiliation: Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 2 Sosa-dong, Wonmi-gu, Bucheon, 420-717, Korea. jikocmc@catholic.ac.kr.
authors.forename: Il-Jung
authors.initials: IJ
authors.lastname: Park
keywords: Foreign body reaction; Infected spine surgery; Retained surgical gauze; Textiloma