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Gossypiboma mimicking recurrent mandibular tumor: case report


Authors: Katarína Adamicová 1;  Mária Janíčková 2;  Katarína Mikušková 2;  Dagmar Statelová 2
Authors‘ workplace: Ústav patologickej anatómie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin 1;  Klinika stomatológie a maxilofaciálnej chirurgie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin 2
Published in: Čes.-slov. Patol., 56, 2020, No. 3, p. 168-171
Category: Original Articles

Overview

Gossypiboma is not a commonly known surgical complication. It is a tumorous lesion usually caused by hemostatic material used in surgery. Such lesions are most commonly described after abdominal surgery. In this case report, the authors describe a case of a 17 year old female patient, operated for a mandible tumor. Histopathologically it was an ameloblastoma. The patient was treated lege artis, with the use of Surgicel® felt (Surgicel FibrillarTM Absorbable Hemostat). After two months, the young woman returned to clinics with a tumorous lesion at the same location. On the CT scan the lesion appeared to be a recurrence of the originally diagnosed ameloblastoma. Histopathologically, the lesion consisted of a foreign material with surrounding granulation tissue and massive inflamation. The foreign material had an atypical structure. Subsequent consultations and consensus at the clinic confirmed that it was a haemostatic foreign material with a surrounding hyper-inflammatory response mimicking a tumor, known in the literature under various names, most often as gossypiboma or textiloma.

Keywords:

gossypiboma – textiloma – Surgicel – mandibular tumor – tumor recurrence


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