Extraskeletal Osteosarcoma Induced by a Foreign Body Granuloma

An 8 yr old spayed female Italian greyhound was presented with a mass in the cranial abdomen. Preliminary evaluation of the dog revealed a large, cavitary, irregularly shaped mass with no definitive association with any abdominal organs. During an exploratory celiotomy, a 16 cm × 12 cm × 6 cm mass was removed. On subsequent histopathology, extraskeletal osteosarcoma induced by a foreign body granuloma was diagnosed. The foreign body granuloma, based on histopathological findings, was suspected to be secondary to a retained surgical sponge from her routine ovariohysterectomy performed 7 yr prior to presentation. Animals with granulomas induced by foreign bodies can remain asymptomatic for years; however, those granulomas can progress to extraskeletal osteosarcomas, which carry a poor prognosis.

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RETAINED SURGICAL SPONGE IN ABDOMEN – A CASE REPORT

10.36106/ijsr/8001678 ◽

2021 ◽

pp. 1-2

Author(s):

Navdeep Kaur ◽

Harvinder Singh Chhabra ◽

Amandeep Kaur

Keyword(s):

Case Report ◽

Foreign Body ◽

Early Diagnosis ◽

Abdominal Cavity ◽

Major Complication ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Retained Foreign Body ◽

Undesirable Event ◽

Before And After

Retained foreign body is a major complication that can occur in early or delayed postoperative period having both clinical as well as medicolegal implications. We hereby report a case of 47-year-old female with retained surgical sponge in abdominal cavity after hysterectomy. Thorough count of all sponges before and after any surgery can aid in avoiding such an undesirable event and preferable use of labelled sponges can help in early diagnosis in such cases.

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Foreign Body Granuloma

Journal of Surgical Case Reports and Images ◽

10.31579/2690-1897/083 ◽

2021 ◽

Vol 4 (6) ◽

pp. 01-02

Author(s):

Pooja Agarwal

Keyword(s):

Foreign Body ◽

Biological Response ◽

Foreign Body Granuloma ◽

Diagnostic Challenge ◽

Surgical Sponge ◽

Radiographic Appearance ◽

Previous Trauma ◽

History Of ◽

The Individual ◽

Time Of Presentation

Penetration of foreign bodies may present a diagnostic challenge to the surgeon. The foreign body granuloma is a biological response of tissue to any foreign body in the tissue. The pathway of arriving to the diagnosis of foreign body granuloma becomes diﬃcult when patient presents with non speciﬁc symptoms such as pain/ swelling, and in history- no recollection of previous trauma. It can be of two types- a) Iatrogenic gossypiboma by retained surgical sponge intra-operatively b) Granulation by a penetrating foreign body such as wooden splinter or other materials. -The most frequent reported injury is to hand, thigh, knee and feet; these may be limited to soft tissue of may be intra articular. The time and type of presentation varies according to the immune status of the individual. In cases, where history of trauma is uncertain, the presentation is very late and the radiographic appearance may be confusing - Median time of presentation: 4 months to 20 years

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Foreign Bodies in Tendons

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(89)90022-3 ◽

1989 ◽

Vol 14 (1) ◽

pp. 84-85 ◽

Cited By ~ 11

Author(s):

L. Jozsa ◽

A. Reffy ◽

Susanne Demel ◽

J. B. Balint

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Lower Extremities ◽

Upper Extremities ◽

Foreign Body Granuloma ◽

Lower Limbs ◽

Upper Limbs ◽

Foreign Material ◽

Glass Sand

At the National Institute of Traumatology in Budapest, a search has been made for foreign bodies in tendons over the last 15 years. 53 foreign bodies have been found in 931 tendons removed at operation and 45 foreign bodies in 950 tendon samples at autopsy. The foreign material was found to be organic in 29 cases, metal in 20 cases and plastic in six cases. In the others, glass, sand, mineral grease and textiles could be detected. In 33 cases the material could not be identified. The foreign bodies were found in the tendons of the upper extremities in 51 cases and the lower extremities in 47 cases. Foreign bodies in the tendons were more likely to cause problems in the upper limbs than in the lower limbs: these problems were purulent tendonitis, necrosis, foreign body granuloma, fibrosis and peritendonitis and calcification.

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Spectrum of CECT Findings of Retained And Migrated Surgical Items In Abdomen – A Series of Seven Cases.

10.21203/rs.3.rs-475927/v1 ◽

2021 ◽

Author(s):

Ishan Kumar ◽

Srishti Sharma ◽

Anindita Sinha ◽

Ashish Verma

Keyword(s):

Foreign Bodies ◽

Biliary Stent ◽

Hemostatic Agent ◽

Contraceptive Device ◽

Imaging Findings ◽

Surgical Instrument ◽

Diagnostic Dilemma ◽

Surgical Sponge ◽

Retained Surgical Sponge

Abstract Background: Various retained surgical items often present a diagnostic dilemma to the interpreting radiologist. These items include retained surgical sponge (gossypiboma), misplaced, migrated catheters, broken instruments, irrigation sets, and a variety of surgical paraphernalia. Such foreign bodies present with varying imaging findings and can often mimic other diseases radiologically.Case presentations: We present a series of seven interesting cases of retained surgical mops (case 1, 2 and 3), broken and retained surgical instrument (case 4), migrated plastic biliary stent (case 5), migrated contraceptive device (case 6) and surgically placed hemostatic agent (case 7)Conclusions: Familiarity with the variable imaging findings and communication with the clinician can facilitate timely management for these patients.

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Foreign body reaction to a retained surgical sponge (gossypiboma) mimicking an implant associated sarcoma in a dog after a tibial plateau levelling osteotomy

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-11-12-0188 ◽

2013 ◽

Vol 26 (02) ◽

pp. 147-153 ◽

Cited By ~ 5

Author(s):

R. P. Cavanaugh ◽

J. L. Fick ◽

K. P. McAbee ◽

B. Powers ◽

E. E. Corbin

Keyword(s):

Foreign Body ◽

Revision Surgery ◽

Tibial Plateau ◽

Foreign Body Reaction ◽

Acute Onset ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Pelvic Limb ◽

Time Of Presentation

SummaryA dog was presented with the complaint of an acute onset left pelvic limb lameness three years after a right tibial plateau levelling osteotomy had been performed. Radiographs taken at the time of presentation showed signs that were consistent with a diagnosis of an implant associated sarcoma. At revision surgery, a retained surgical sponge was identified, leading to a diagnosis of a gossypiboma. This is the first reported case of a gossypiboma as a complication of a tibial plateau levelling osteotomy surgery.

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Retained surgical sponge presenting as a case of intestinal obstruction

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.10.3.0267 ◽

2021 ◽

Vol 10 (3) ◽

pp. 412-416

Author(s):

Chiemelu Dickson Emegoakor ◽

Henry Chukwuka Nzeako ◽

Kenneth Oluchukwu Ugwuanyi ◽

Celestine Ifeanacho Okafor ◽

Arinze Chukwuma Ijezie

Keyword(s):

Abdominal Pain ◽

Foreign Body ◽

Intestinal Obstruction ◽

Private Hospital ◽

The Body ◽

Abdominal Distention ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Retained Foreign Body ◽

History Of

Retained surgical sponge or gossypiboma is a term used to describe a retained swab in the body after operation. There are different surgical materials that can be left in the abdomen during operation such as sponge, artery forceps, scissors, and pieces of broken instrument. Mop is the most commonly retained foreign body. Inadvertent retention of foreign body in the abdomen often requires another operation, increasing the morbidity and mortality in these patients. Despite the complications associated with this condition, they are rarely published because of medicolegal implications. We report a case of 28-year-old woman who presented on account of 9 months history of colicky abdominal pain, abdominal distention and mass following open myomectomy in a private hospital.

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Extravesical Textiloma (Gossypiboma) Mimicking a Bladder Tumor in a Dog

Journal of the American Animal Hospital Association ◽

10.5326/0450089 ◽

2009 ◽

Vol 45 (2) ◽

pp. 89-92 ◽

Cited By ~ 18

Author(s):

Jack-Yves Deschamps ◽

Françoise A. Roux

Keyword(s):

Postoperative Infection ◽

Bladder Tumor ◽

Foreign Bodies ◽

Bladder Wall ◽

Clinical Signs ◽

Abscess Formation ◽

Surgical Sponge ◽

Retained Surgical Sponge ◽

Left Behind

Sponges can be inadvertently left behind during surgery. A retained surgical sponge is called a textiloma, gossypiboma, or gauzoma. This complication is rare and rarely reported. These foreign bodies can lead to postoperative infection or abscess formation, while others remain asymptomatic for many years before leading to a granuloma with adhesions. This paper reports a case of extravesical textiloma in a spayed female dog with severe hematuria and a thickened bladder wall, mimicking a tumor on ultrasound. Clinical signs occurred >8 years after sterilization.

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Extraskeletal Osteosarcoma Associated with Retained Surgical Sponge in a Dog

Journal of Veterinary Diagnostic Investigation ◽

10.1177/104063870601800218 ◽

2006 ◽

Vol 18 (2) ◽

pp. 224-228 ◽

Cited By ~ 27

Author(s):

Margaret A. Miller ◽

Rhonda L. Aper ◽

Amy Fauber ◽

William E. Blevins ◽

José A. Ramos-Vara

Keyword(s):

Extraskeletal Osteosarcoma ◽

Surgical Sponge ◽

Retained Surgical Sponge

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A Large Bullet in the Bladder

Swiss Surgery ◽

10.1024/1023-9332.7.3.139 ◽

2001 ◽

Vol 7 (3) ◽

pp. 139-140 ◽

Cited By ~ 6

Author(s):

Halkic ◽

Wisard ◽

Abdelmoumene ◽

Vuilleumier

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Gross Hematuria ◽

Suprapubic Cystostomy ◽

Laparoscopic Port ◽

Urethral Trauma ◽

Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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