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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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.53289

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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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Online since 20th March '04
Published by Wolters Kluwer - Medknow