Korean J Otorhinolaryngol-Head Neck Surg.  2014 Jun;57(6):396-399. 10.3342/kjorl-hns.2014.57.6.396.

A Case of Gossypiboma Associated with Xanthogranulomatous Inflammation

• Kwon OJ
• Park JJ
• Kim JP
• Woo SH

• KMID: 2277810
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.6.396

Abstract

A mass formed around a cotton matrix left within the body is termed as gossypiboma. It is a rare complication of surgery and often occurs mainly after abdominal operations. The incidence of gossypiboma is underreported, due to legal implications of their detection. Furthermore, a correct diagnosis can be made only in one-third of cases. Clinical presentation is variable, depending on the location of the foreign body and on the type of inflammatory reaction. The recommended choice of treatment is excision, with the most important consideration given to prevention. Xanthogranulomatous inflammation is an uncommon form of chronic inflammation, which is destructive to affected organs. To the best of our knowledge, we report the first case of gossypiboma associated with xanthogranulomatous inflammation. A gauze accidently left in the lateral neck after a neuro-surgical intervention was found during resection of mass-like lesion and xanthogranulomatous inflammation was diagnosed on histopathologic exam.

Keyword

Gauze; Gossypiboma; Xanthogranulomatous inflammation

MeSH Terms

Diagnosis
Foreign Bodies
Incidence
Inflammation*
Neck