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Textiloma nine years after nephrectomy.

Miguel Zerati Filho¹, Paulo S Furtado, Leonardo A P De Andrade

¹Institute of Urology and Nephrology, São José do Rio Preto, São Paulo, Brazil. iunsjrp@terra.com.br

International Braz J Urol : Official Journal of the Brazilian Society of Urology

|March 8, 2005

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Textiloma, a retained foreign body, is a rare complication following surgical procedures. This case highlights a textiloma discovered 9 years after a nephroureterectomy, emphasizing the need for vigilance in surgical practice.

Area of Science:

Surgical Complications
Medical Imaging
Urology

Background:

Retained foreign bodies after surgery, such as textiloma, are infrequently documented.
Estimated incidence of 1 in 1,300 operations, with potential underreporting.

Purpose of the Study:

To report a rare case of textiloma following nephroureterectomy.
To review the literature on textiloma in renal surgeries.

Main Methods:

Case presentation of a 38-year-old female patient.
Diagnostic workup including radiographic imaging after 9 years of asymptomatic interval.

Main Results:

A textiloma was identified as the cause of intermittent left flank pain.
Literature review identified only 8 prior cases of textiloma in renal surgeries since 1950.

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Conclusions:

Textiloma is a rare but significant complication of renal surgery.
Underreporting may be influenced by legal considerations.
Delayed diagnosis is possible, presenting with chronic symptoms.