Leg textiloma. A case report.

Elyazid Mouhsine; Raffaele Garofalo; Alec Cikes; Pierre François Leyvraz

doi:10.1159/000092998

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Leg textiloma. A case report.

Elyazid Mouhsine·Raffaele Garofalo·Alec Cikes·Pierre François Leyvraz

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Abstract

OBJECTIVE: To report and highlight the potential diagnostic pitfalls and consequences of leg textiloma. CASE REPORT AND INTERVENTION: A soft tissue pseudotumor of the left leg diagnosed in a 58-year-old man is described. The lesion was caused by a retained surgical gauze after surgery for varicose veins. The surgical gauze had remained in the subcutaneous tissue for 3 years and led to the formation of a 3-cm, well-circumscribed, pseudotumoral foreign body granuloma which appeared like a soft tissue tumor. A surgical intervention was performed and the mass was excised. During the procedure an old surgical gauze was found. The histologic examination revealed that a large foreign body granuloma (pseudotumor) had developed in contact with foreign material birefracting under polarized light (gauze). No sign of malignancy was noted. CONCLUSION: Although no fatal complications have been described in the musculoskeletal localization, the diagnosis is difficult and costly. According to clinical presentation, a differential diagnosis should be made between a tumoral lesion, such as a sarcoma, or a pseudotumoral lesion, such as a gossypiboma. Focal myositis or infections should also be suspected.

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Elyazid Mouhsine, Raffaele Garofalo, Alec Cikes, Pierre François Leyvraz. 2006. Leg textiloma. A case report.. https://doi.org/10.1159/000092998

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