Toledo CY, Piñón GK, Almeida EY

Language: Spanish
References: 10
Page:
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ABSTRACT

Introduction: the textilema is a known event, but of scarce appearance. They are most commonly described as foreign bodies left in the body after surgery. The most common site of presentation is the abdominal cavity, although the thoracic region, the paraspinal muscles, the lower limbs, and the skull may be involved.
Case presentation: a 36-year-old female patient with a history of cesarean section a year earlier and a micro-cesarean section two months ago due to a mesenteric cyst that was diagnosed in a follow-up obstetric consultation. He attended the surgery service and with the administration of combined anesthesia (general orotracheal and continuous epidural regional) an exploratory laparotomy and exeresis of the lesion was performed. The anatomopathological study reported a textoma. The postoperative period was uncomplicated and the patient was discharged 12 days after surgery.
Discussion: Textilema is a rare complication. Sometimes due to low clinical suspicion and inconclusive radiological reports, it can go unnoticed. The treatment includes preventive measures and its complete removal avoids fatal complications.
Conclusions: faced with a patient with an abdominal tumor and a previous history of surgery, textiloma should be considered as a differential diagnosis. The anatomopathological study represents a safe, reliable and vital test for the accurate diagnosis of this eventuality.

REFERENCES

1. Mallick B, Nath P, Praharaj D, Panigrahi SC, Anand NC. Unusual Cause of Recurrent Cholangitis: Gossypiboma. Cureus. 2020; 12(4): e7774 - e80.

2. García Yllán V, García Yllán L. Textiloma. Un reto diagnóstico. Presentación de un caso. Rev Archivos de Patología. 2020; 1(2):9-14.

3. Motta Ramírez GA, Aguilar Garibay JE, González Burgos O, Espinoza Ramirez C, Pérez Barbosa PF. Textiloma intraluminal: Complicación tardía de una cirugía intraabdominal. Anales de Radiología México. 2018; 17(4):280-7.

4. Tchaou M,Tchangai B, Dosseh DF, Gbande P, Kolou B, Sonhaye L, et al. Abdominal Gossypibomas: Computed Tomography Scanner Findings of a Series of 15 Cases. Open J Radiol. 2020; 10(1):16-22.

5. Karima M, Houda M, Tazi Z, Adib F, Bezad R, Alami MH. Abdominal Textiloma about a Case. SchInt J Obstet Gynec. 2020; 3(1): 4-6.

6. Montemurro N, Murrone D, Romanelli B, Lerardi A. Postoperative textiloma mimicking intracranial rebleeding in a patient with spontaneous hemorrhage: case report and review of the literature. Case Rep Neurol. 2020; 12(1): 7-12.

7. Akhaddar A, Baallal H, Elktaibi A. Abscess due totextiloma (gossypiboma: Retained surgical cottonoid). Surg Neurol Int. 2018; 9:70-3.

8. Yoshida R, Yoshizako T, Sonoyama H, Ryoji H, Iwahashi T, Ishikawa N, et al. Gossypiboma penetrating into the small intestine similar to Meckel's diverticulum: a report and literature Review. Rev Radiology Case Reports. 2020; 15(6): 655-9.

9. Holm TM, Stathatos N, Sadow PM, Juliano AF, Cunnane MB, Carter MS, et al. A Gossypiboma from Kazakhstan. Ear Nose Throat J. 2020; 99(2):117-8.

10. Jaramillo Jiménez E, Gupta M, Snipes G, Cheek BS, Michael CB, Navarro Montoya AM, et al. Textiloma mimicking a Rrcurrent high-grade astrocytoma: a case report. J Neurol Surg Rep. 2020; 81(1): e7-e9.