Open Access, Peer-reviewed
pISSN 1226-2102
eISSN 2005-8918
    J Korean Orthop Assoc. 2009 Feb;44(1):141-144. Korean.
    Published online Feb 23, 2009.
    https://doi.org/10.4055/jkoa.2009.44.1.141
    Copyright © 2009 The Korean Orthopaedic Association
    Case Report

    Textiloma Ten Years after a Lumbar Discectomy - A Case Report -

    Jae-Lim Cho, M.D., Ye-Soo Park, M.D.,* Seung-Wook Baek, M.D.,* and Chang-Nam Kang, M.D.
      • Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
      • *Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
    • Address reprint requests to Chang-Nam Kang, M.D. Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 17, Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea. Tel: +82-2-2290-8485, Fax: +82-2-2299-3774, Email: cnkang65@hanyang.ac.kr

    Abstract

    A paraspinal foreign body reaction is a rare condition that can cause severe neurological complications or death. However, the condition is often neglected. The authors report a case of a paraspinal textiloma that was diagnosed and treated with a surgical excision.

    Keywords
    Textiloma (gossypibomas); Foreign body granuloma; Lumbar discectomy

    Figures

    Fig. 1
    (A) Sagittal T1-weighted MR image shows hypointense ellipsoid lesion with a central hypointense nidus in the left paravertebral soft tissue at the level of L4-5. (B) Sagittal T2-weighted MR image with contrast medium demonstrating a ring-enhanced, showing the lesion as hyperintense. (C) Axial T1-weighted MR image shows hypointense ellipsoid lesion.

    Fig. 2
    The excised specimen is measured 4.2×3.2×2.4 cm in size.

    Fig. 3
    The excised speciment is cutted. A retained sponge material was found within the paraspinal mass.

    Fig. 4
    Histologic findings (H-E staining). Submitted is a grayish white partially calcified fat tissue. Foreign body (Gauze) granuloma (×200, H-E stain).

    References

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    MeSH Terms
    Foreign-Body Reaction
    Granuloma, Foreign-Body
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