Gossypiboma mimicking recurrent mandibular tumor: case report

Česká verzia

Authors: Katarína Adamicová ¹; Mária Janíčková ²; Katarína Mikušková ²; Dagmar Statelová ²
Authors place of work: Ústav patologickej anatómie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin ¹; Klinika stomatológie a maxilofaciálnej chirurgie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin ²
Published in the journal: Čes.-slov. Patol., 56, 2020, No. 3, p. 168-171
Category: Original Articles

Summary

Gossypiboma is not a commonly known surgical complication. It is a tumorous lesion usually caused by hemostatic material used in surgery. Such lesions are most commonly described after abdominal surgery. In this case report, the authors describe a case of a 17 year old female patient, operated for a mandible tumor. Histopathologically it was an ameloblastoma. The patient was treated lege artis, with the use of Surgicel^® felt (Surgicel Fibrillar^TM Absorbable Hemostat). After two months, the young woman returned to clinics with a tumorous lesion at the same location. On the CT scan the lesion appeared to be a recurrence of the originally diagnosed ameloblastoma. Histopathologically, the lesion consisted of a foreign material with surrounding granulation tissue and massive inflamation. The foreign material had an atypical structure. Subsequent consultations and consensus at the clinic confirmed that it was a haemostatic foreign material with a surrounding hyper-inflammatory response mimicking a tumor, known in the literature under various names, most often as gossypiboma or textiloma.

Keywords:

gossypiboma – textiloma – Surgicel – mandibular tumor – tumor recurrence

Zdroje

1. Aminian A. Gossypiboma: a case report. Cases J 2008; 1(1): 220.

2. Colak T, Olmez T, Turkmenoglu O, Dag A. Small bowel perforation due to gossypiboma caused acute abdomen. Case Rep Surg 2013; 2013: 219354.

3. Srivastava KN, Agarwal A. Gossypiboma posing as a diagnostic dilemma: a case report and review of the literature. Case Rep Surg 2014; 2014: 713428.

4. Nisar Umar. Gossypiboma. 2015 https://www.slideshare.net/UmarNisar4/gossypiboma-50000514.

5. Carvalho FSR, Costa F, Chaves FN, Soares ECS. Maxillofacial gossypiboma: Case report, review of the literature, and diagnosis algorithm. J Maxillofac Oral Surg 2019; https://doi.org/10.1007/s12663-019-01242-9.

6. Van Goethem JWM, Parizel PM, Perdieus D, Hermans P,de Moor J. MR and CT imaging of paraspinal textiloma (gossypiboma). J Comput Assist Tomogr 1991; 15(6): 1000-1003.

7. Wang H, Chen P. Surgicel® (oxidized regenerated cellulose) granuloma mimicking local recurent gastrointestinal stromal tumor. Oncol Lett 2013; 5(5): 1497-1500.

8. Ribalta T, McCutcheon IE, Neto AG, et al. Textiloma (Gossypiboma) mimicking Recurrent Intracranial Tumor. Arch Pathol Lab Med 2004; 128(7): 749-458.

9. Topal U, Gebitekin C, Tuncel E. Intrathoracic gossypiboma. AJR Am J Roentgenol 2001; 177(6): 1485-1486.

10. Solaini L, Prusciano F, Bagioni P. Intrathoracic gossypiboma a movable body within a pseudocystic mass. Eur J Cardiothorac Surg 2003; 24(2): 300.

11. Rajput A, Loud PA, Gibbs JF, Kraybill WG. Diagnostic challenges in patients with tumors: case 1 gossypiboma (foreign body) manigesting 30 years after laparotomy. J Clin Oncol 2003; 21(19): 3700-3701.

12. Mattson T, Anneroth G, Kondell P, Nordenram A. ACP and Surgicel in bone haemostasis. Swed Dent J 1990; 14(2): 57-62.

13. Gossypiboma. Wikipedia, 2019 https://en.wikipedia.org/wiki/Gossypiboma.

14. Guerrouani A, Kairouani M. Paranasal gossypiboma mimicking an aggressive tumor. Clin Case Rep 2018; 6(1): 71-77.