BRIEF REPORT |
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Year : 2009 | Volume
: 57
| Issue : 3 | Page : 320--323 |
Retained surgical sponge in differential diagnosis of paraspinal soft-tissue mass after posterior spinal surgery: Report of eight cases
Cem Atabey1, Mehmet Turgut2, Ahmet Turan Ilica3
1 Department of Neurosurgery, DiyarbakIr Military Hospital, Diyarbakir, Turkey 2 Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey 3 Department of Radiology, Diyarbakir Military Hospital, Diyarbakir, Turkey
Correspondence Address:
Mehmet Turgut Cumhuriyet Mahallesi, Cumhuriyet Caddesi, No: 6 Daire: 7, TR-09020 Aydin Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.53289
Background: In the postoperative period of posterior spinal surgery, surgeons usually encounter a wide spectrum of complications, including retained surgical sponge, gossypiboma. Materials and Methods: Retrospective review of case records of eight patients diagnosed with gossypiboma with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI) findings. Results: All the eight patients presented with low back pain and/or symptoms of infection, such as draining from the incision site, fever, and tenderness. The diagnosis was confirmed by the imaging findings on MRI with gadolinium enhancement. Conclusion: Retained paravertebral surgical sponges are seldom reported due to medicolegal implications. Awareness of this complication among neurosurgeons and radiologists is essential to avoid unnecessary morbidity.
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