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MR and CT imaging of paraspinal textiloma (gossypiboma)

J W Van Goethem1, P M Parizel, D Perdieus

  • 1Department of Radiology, Universitair Ziekenhuis Antwerpen, University of Antwerp, Edegem, Belgium.

Journal of Computer Assisted Tomography
|November 1, 1991
PubMed

Insights

This report details two cases of textiloma, a foreign body granuloma, discovered after spinal surgery for herniated discs. These rare "cottonoid" remnants require differentiation from tumors and scar tissue, with imaging characteristics noted.

Area of Science:

  • Neurosurgery
  • Radiology
  • Pathology

Background:

  • Textilomas, also known as gossypibomas or foreign body granulomas, are rare complications resulting from retained surgical materials.
  • These lesions can occur after various surgical procedures, including spinal surgery for conditions like intervertebral disk herniation.

Observation:

  • This report presents two cases where textilomas, specifically "cottonoids" (Codman, U.S.A.), were inadvertently left in the paraspinal wound after spinal surgery.
  • The textilomas were identified in the paraspinal region.

Findings:

  • Textilomas are uncommon and must be distinguished from paraspinal tumors and other postoperative complications such as scar formation.
  • While plain radiography may show a characteristic image due to a marking filament, computed tomography (CT) and magnetic resonance imaging (MR) findings are less commonly documented.

Implications:

  • Accurate differentiation of textilomas from other paraspinal lesions is crucial for appropriate patient management.
  • Further characterization of imaging findings, particularly CT and MR, may aid in the diagnosis of these rare postoperative complications.

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