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Leg textiloma. A case report.

Elyazid Mouhsine1, Raffaele Garofalo, Alec Cikes

  • 1Department of Orthopaedic Surgery and Traumatology, University Hospital, Lausanne, Switzerland. elyazid.mouhsine@hosr.hospvd.ch

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
|June 10, 2006
PubMed
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Retained surgical gauze can form a leg textiloma, mimicking a tumor and causing diagnostic challenges. Early identification is crucial to prevent complications from this foreign body granuloma.

Area of Science:

  • Medical Case Reports
  • Surgical Pathology
  • Radiology

Background:

  • Textilomas, or gossypibomas, are rare foreign body granulomas resulting from retained surgical materials.
  • These can present as pseudotumoral masses, complicating diagnosis and patient management.

Observation:

  • A 58-year-old male presented with a soft tissue pseudotumor on his left leg, diagnosed after 3 years.
  • Imaging revealed a 3-cm, well-circumscribed mass, initially suspected as a soft tissue tumor.
  • Surgical excision uncovered retained surgical gauze, the cause of a foreign body granuloma.

Findings:

  • Histological examination confirmed a large foreign body granuloma surrounding the gauze.
  • The granuloma mimicked a neoplastic lesion, highlighting diagnostic pitfalls.

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  • No signs of malignancy were observed in the excised mass.

    • Implications:

    • Leg textilomas pose diagnostic challenges, often mimicking sarcomas or other pseudotumoral lesions.
    • Accurate differential diagnosis is essential, considering focal myositis or infections.
    • While not typically fatal in musculoskeletal locations, delayed diagnosis can lead to complications and increased healthcare costs.