Sponge-induced granuloma ("gauzoma") as a complication of posterior lumbar surgery.

Abstract:

:A 45-year-old woman presented with complaints of low back pain and sciatica on the left persisting for 2 years. She had undergone left hemilaminectomy and discectomy for L4-5 intervertebral disc herniation at another medical center. Spinal computed tomography and magnetic resonance (MR) imaging revealed a mass lesion in the posterior paravertebral region. The mass was hypointense with ring enhancement on the T(1)-weighted images and hyperintense on the T(2)-weighted images. Surgery found a retained sponge within the paraspinal mass cavity which was removed totally. Foreign-body granuloma ("gauzoma") induced by forgotten sponge material is not an unusual complication of posterior lumbar surgery and should be considered as a potential cause in cases of surgical wound infections. MR imaging is essential to achieve the correct differential diagnosis.

authors

Turgut M,Akyüz O,Ozsunar Y,Kacar F

doi

10.2176/nmc.45.209

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

209-11

issue

4

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/45.209

journal_volume

45

pub_type

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