Gossypiboma

From Dog
Extravesicular gossypiboma[1]

Gossypiboma (textiloma) is a term for the surgical complications following retention of surgical swabs within a canine patient[2] after orthopedic surgery or, more commonly, ovariohysterectomy.

This relatively rare post-operative complication can result in a number of clinical symptoms such as incontinence[3] or neoplasia due to granulomatous reaction to retained sponges[4].

A presumptive diagnosis is usually established on radiographic evidence of a linear foreign body associated with prior surgical procedures. Use of ultrasonography or fine-needle aspiration[5] may assist diagnosis, but definitive diagnosis requires surgical exploration of the foreign object.

Treatment by surgical removal of the surgical sponges is usually curative.

References

  1. Deschamps JY & Roux FA (2009) Extravesical textiloma (gossypiboma) mimicking a bladder tumor in a dog. J Am Anim Hosp Assoc 45(2):89-92
  2. Corbin EE et al (2013) Foreign body reaction to a retained surgical sponge (gossypiboma) mimicking an implant associated sarcoma in a dog after a tibial plateau levelling osteotomy. Vet Comp Orthop Traumatol 26(2):147-153
  3. Krimer PM & Duval JM (2010) Pathology in practice. Postsurgical urinary incontinence caused by gossypiboma in a dog. J Am Vet Med Assoc 236(11):1181-1183
  4. Miller MA et al (2006) Extraskeletal osteosarcoma associated with retained surgical sponge in a dog. J Vet Diagn Invest 18(2):224-228
  5. Putwain S & Archer J (2009) What is your diagnosis? Intra-abdominal mass aspirate from a spayed dog with abdominal pain. Vet Clin Pathol 38(2):253-256