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DOI:10.2214/AJR.07.7132
AJR 2009; 193:S94-S101
© American Roentgen Ray Society

Imaging of Gossypibomas: Pictorial Review

Adonis Manzella1, Paulo Borba Filho, Eolo Albuquerque, Fabiana Farias and João Kaercher

1 All authors: Department of Radiology, Hospital das Clinicas, Universidade Federal de Pernambuco, Avenida Professor Moraes Rego S/N–Cidade Universitária, Recife, Pernambuco, Brazil 50670-420.

Objective

Textiloma and gossypiboma are terms used to describe a mass of cotton matrix that is left behind in a body cavity during an operation. This is an uncommon surgical complication. Gossypibomas are most frequently discovered in the abdomen. Such foreign bodies can often mimic tumors or abscesses clinically or radiologically; however, they are rarely reported because of the medicolegal implications. The manifestations and complications of gossypibomas are so variable that diagnosis is difficult and patient morbidity is significant.

Conclusion

This article discusses the clinical manifestations, pathophysiologic aspects, and most important complications related to gossypibomas; presents the classic imaging features of gossypibomas using a multitechnique approach; and shows some of the typical and atypical sites of gossypibomas.

Keywords: foreign bodies • gossypibomas • imaging findings • surgical sponges • textilomas


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