Endoscopic ultrasonography for intra-abdominal textiloma

The term textiloma is used to describe foreign body (swab) forgotten during surgery. We don't know any case of the description of endoscopic ultrasonography (EUS) for intra-abdominal textiloma.

To determine the EUS capabilities in the topical diagnosis of intra-abdominal textiloma.

Patient, female, 57-year-old was admitted to our hospital with post-operative hernia. 10 months before the patient underwent surgery (laparotomy, splenectomy) in another hospital. For ethical reasons, we do not name that hospital. Intra-abdominal lesion has been accidentally revealed by computed tomography during the pre-operative examination prior to hernioplasty. Ultrasound unclear detected hyperechoic lesion with a dense acoustic shadow. The patient was sent to the EUS to clarify the diagnosis and to determine the topography of the lesion, fine-needle aspiration - if required.

EUS revealed a hyperechoic corrugated border of the lesion with a dense acoustic shadow - between the gastric wall and the lower surface of the liver. Taking into account preceding surgery EUS suspected textiloma. The patient underwent hernioplasty and revision of the abdominal cavity. Textiloma has been revealed between the stomach and liver.

EUS correctly diagnosed textiloma and accurately determined its location.