Background: â??Gossypibomaâ? or â??textilomaâ? refers to accidental retention of\ntextile material in an operated area of the body. Abdominal surgery is most\noften responsible for this complication. The purpose of our study was to describe\nthe appearance of abdominal gossypibomas on computed tomography\n(CT) scan images. Materials and Methods: We conducted a retrospective\nstudy over ten years (from January 1, 2009 to December 31, 2018) at the\nTeaching University Hospital of Lomé. We collected all surgically confirmed\ncases of abdominal gossypibomas with abdominal CT scans. Results: Fifteen\ncases were compiled, with a sex-ratio of 0.36. The average age of the patients\nwas 34 years. The initial surgery was emergent in nine of 15 cases, 11 of which\nconsisted of gynecological interventions. The gossypiboma symptom incubation\nperiod was between 3 days and 3 years. A radiopaque marker was observed\nvia CT scans in three of 15 cases. The gossypiboma appeared encapsulated\nand spongiform in six cases and cystic in seven cases. There were two\ncases where the gossypiboma migrated into hollow organs. Conclusion: Abdominal\ngossypibomas appear polymorphic on CT scans and should be considered\nin patients who present with an abdominal mass and a history of abdominal\nsurgery, even for absent radiopaque markers.
Loading....