Gossypiboma Encountered 40 Years after Lumbar Partial Laminectomy - A Case Report -

Dong Jun Kim; Gyu Min Kong; Dong Hoon Yang; Sung Hwan Kim; Sang Ho Moon

doi:10.7469/JKSS.2009.16.1.54

Journal List > J Korean Soc Spine Surg > v.16(1) > 1035876

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Kim, Kong, Yang, Kim, and Moon: Gossypiboma Encountered 40 Years after Lumbar Partial Laminectomy - A Case Report -

Case Report

Journal of Korean Spine Surg 2009;16(1):54-58.

Published online: 18 January 2009

DOI: https://doi.org/10.7469/JKSS.2009.16.1.54

Gossypiboma Encountered 40 Years after Lumbar Partial Laminectomy - A Case Report -

Dong Jun Kim, M.D., Gyu Min Kong, M.D., Dong Hoon Yang, M.D.^#, Sung Hwan Kim, M.D., Sang Ho Moon, M.D.^§,

Handong University Sunlin Hospital, Pohang, Korea

^{^#}Department of Orthopedic Surgery and Neurosurgery

^{^§}Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea

Address reprint requests to Sang Ho Moon, M.D. Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital 374-75 Namsan-dong, Geumjung-gu, Busan, 609-728, Korea Tel: 82-51-580-1273, Fax: 82-51-583-2568, E-mail: msh124@paran.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gossypiboma is a mass within body consisting of a cotton matrix surrounded by a foreign-body reaction. Some patients may remain asymptomatic, while others develop early persistent infected conditions. Gossypiboma should be included in a differential diagnosis of a paravertebral mass in postoperative patients, and a thorough and a careful inspection of the surgical field before closure must be performed by surgeons to avoid the complications of gossypiboma even when there are correct counts. We present a patient in whom a gossypiboma at the 4th lumbar spine was encountered 40 years after a partial laminectomy with no subjective symptoms.

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Keywords: Spine, Gossypiboma

REFERENCES

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Fig. 1.

A 60-year-old man who underwent left L3 and L4 partial laminectomy 40 years ago. Preoperative (A) anteroposterior and (B) lateral radiographs show left laminectomy state of L3 and L4.

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Fig. 2.

(A) Sagittal and (B) axial T1 weighted images show paravertebral mass with an intermediate signal intensity (arrows). (C) Sagittal and (D) axial T2 weighted images show a high signal intensity within the center of the lesion and a low signal intensity within the peripheral rim (arrows). (E) Sagittal and (F) axial enhanced images reveal strong enhancement of the peripheral rim of the lesion (arrows).

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Fig. 3.

Postoperative (A) anteroposterior and (B) lateral radiographs show posterior lumbar intervertebral fusion and posterolateral fusion state of L3 and L4.

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Fig. 4. (A)

Foreign materials area scattered in the sclerotic stroma with mild infiltration of lymphocytes. (B) Multiple microcalcifications are present (Hematoxylin & eosin stain, × 200).

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