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

Jae-Lim Cho; Ye-Soo Park; Seung-Wook Baek; Chang-Nam Kang

doi:10.4055/jkoa.2009.44.1.141

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Cho, Park, Baek, and Kang: Textiloma Ten Years after a Lumbar Discectomy - A Case Report -

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2009; 44(1): 141-144.

Published online: 23 February 2009

DOI: https://doi.org/10.4055/jkoa.2009.44.1.141

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.^*, 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, 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 and Tables

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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