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Related Experiment Videos

Retained surgical textilomas occur more often during war.

Ratimira Klarić Custović1, Ivan Krolo, Miljenko Marotti

  • 1Department of Diagnostic and Interventional Radiology, Sisters of Mercy University Hospital, Vinogradska cesta 29, 10000 Zagreb, Croatia. fedor.custovic@zg.htnet.hr

Croatian Medical Journal
|August 18, 2004
PubMed
Summary

Retained surgical textiles, known as textilomas, are diagnosed using computed tomography (CT). Key CT signs include air bubbles and a peripheral rim for acute cases, and calcifications for chronic ones.

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Area of Science:

  • Radiology
  • Surgical Pathology

Background:

  • Retained surgical textiles (textilomas) pose a diagnostic challenge despite surgical precautions.
  • Computed tomography (CT) is the preferred imaging modality for diagnosing textilomas.

Purpose of the Study:

  • To analyze the CT findings of acute and chronic textilomas.
  • To highlight diagnostic features and clinical associations, including those from wartime settings.

Main Methods:

  • Retrospective analysis of 11 acute and 3 chronic textiloma cases diagnosed via CT over 12 years.
  • Evaluation of imaging characteristics such as air bubbles, peripheral rims, and calcifications.

Main Results:

  • Acute textilomas (within 3 months post-op) showed air bubbles and a 3-10 mm peripheral rim.

Related Experiment Videos

  • Chronic textilomas (6 months to 14 years post-op) presented with calcifications and mimicked renal neoplasms.
  • Nine cases were linked to wartime surgical conditions.

    • Conclusions:

    • CT is crucial for diagnosing textilomas, with distinct features for acute and chronic presentations.
    • Air bubbles and peripheral rims are indicative of acute textilomas.
    • Calcifications and mimicry of other pathologies characterize chronic textilomas, particularly in high-stress surgical environments.